Organization Active NPI

Eldercenter Inc

  • Adult Day Care Clinic/Center
  • Statesville, NC
National Provider Identifier
1306629068
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ELDERCENTER INC
Practice address
502 Brevard St
Statesville, NC 28677-4060
Phone
(704) 873-0720
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Howell
Title
Program Director
Phone
(704) 873-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

502 Brevard St
Statesville, NC 28677-4060

Mailing address

PO Box 1162
Statesville, NC 28687-1162
Phone (704) 873-0720

Other names 1

  • Iredell Adult Day Services Doing business as

National Provider Directory

National Provider Directory

Locations

502 Brevard St
Statesville, NC 28677
Phone (704) 873-0720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1306629068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871162",
            "telephone_number": "704-873-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BREVARD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774060",
            "telephone_number": "704-873-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "704-873-0720"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iredell Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iredell Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.