Elderhaus, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ELDERHAUS, INC

Doing business as

Elderhaus at the Lake

Practice address

1950 Amphitheater Dr
Wilmington, NC 28401-6500

Phone

(910) 251-0660

Fax

(910) 762-1732

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ELDERHAUS, INC.As reported in NPPES

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

Authorized official

Name

Ruth Finch

Title

Executive Director

Phone

(910) 251-0660

Specialties & licenses 1

Addresses

Other names 1

• Elderhaus at the Lake Doing business as

Tax ID family

Elderhaus Inc2 organizations share this tax ID, including this one

Part of

Elderhaus Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elderhaus, Inc

  • PACE Provider Organization
  • Wilmington, NC
  • NPI 1699983312
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Elderhaus, Inc

  • PACE Provider Organization
  • Wilmington, NC
  • NPI 1699983312
  NPPES parent name

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1427778844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 AMPHITHEATER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016500",
            "telephone_number": "910-251-0660",
            "fax_number": "910-762-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 AMPHITHEATER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016500",
            "telephone_number": "910-251-0660",
            "fax_number": "910-762-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERHAUS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDERHAUS, INC.",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-251-0660"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderhaus at the Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Henry Eisert
• Nicole Elam, MS, CCC-SLP
• Gabrielle C Elardo, LCSW-A
• Travis Gustafson Elbert, PA-C
• Eldercare in-Home Care, Inc
• Elderhaus, Inc
• Eldo Inc
• Eldo, Inc.
• Eldo, Inc.
• Eldo, Inc.

• Adult Day Care Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.