WP-Brevard Health Holdings I, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WP-BREVARD HEALTH HOLDINGS I, LLC

Doing business as

Cedar Mountain House

Practice address

11 Sherwood Ridge Rd
Brevard, NC 28712-6538

Phone

(828) 884-9510

Fax

(828) 884-3920

NPI assigned

Dec 27, 2012

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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 4

Addresses

Other names 1

• Cedar Mountain House Doing business as

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1568708238",
    "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": "11 SHERWOOD RIDGE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287126538",
            "telephone_number": "828-884-9510",
            "fax_number": "828-884-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP-BREVARD HEALTH HOLDINGS I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "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-088-014",
            "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
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Mountain House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Mountain House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Owen Witt, LCMHC
• Luke Womble, M.D.
• Sarah Woodbury, MS, MAT, ATC, LAT
• Kyle Woods
• Emily Elyse White Wooldridge, LCSW
• WP-Brevard Health Holdings II, LLC (Kingsbridge House)
• James Francis Wright, MD
• Stephanie Bibby Yeatts, LCMHC
• Padma Priya Yelisetty, DDS
• William Richard Zink, PA

• Adult Care Home Facility in Brevard, NC
• Providers in Brevard, NC by specialty
• Adult Care Home Facility in North Carolina

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