Active NPI
Fuquay-Varina Health Holdings, LLC
- Adult Care Home Facility
- Fuquay Varina, NC
National Provider Identifier
1124335211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- FUQUAY-VARINA HEALTH HOLDINGS, LLC
- Practice address
- 40 Rawls Club Rd
Fuquay Varina, NC 27526-8031 - Phone
- (919) 552-6264
- Fax
- (919) 552-7882
- NPI assigned
- Sep 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles E Trefzger
- Title
- Manager
- Phone
- (828) 322-5535
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-043-024 | NC | |
| Adult Care Home Facility | 311ZA0620X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
40 Rawls Club Rd
Fuquay Varina, NC 27526-8031
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Phone (828) 322-5535
Other names 1
- Senter's Rest Home
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2019495 | Senter'S Rest Home | Certificate of waiver | Jan 30, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1124335211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2568",
"city": "HICKORY",
"state": "NC",
"postal_code": "286032568",
"telephone_number": "828-322-5535",
"fax_number": "828-326-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 RAWLS CLUB RD",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275268031",
"telephone_number": "919-552-6264",
"fax_number": "919-552-7882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUQUAY-VARINA HEALTH HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-10",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "TREFZGER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "828-322-5535"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "HAL-043-024",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Senter's Rest Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Senter's Rest Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.