Haywood Health Holdings, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HAYWOOD HEALTH HOLDINGS, LLC

Practice address

27 N Main St
Canton, NC 28716-3847

Phone

(828) 273-1004

Fax

(828) 276-1017

NPI assigned

Jul 9, 2012

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 3

Addresses

Other names 1

• Haywood House Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1982969739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 WAYNE AVE",
            "address_2": "SUITE 900",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104433",
            "telephone_number": "240-841-2919",
            "fax_number": "240-841-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N MAIN ST",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287163847",
            "telephone_number": "828-273-1004",
            "fax_number": "828-276-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "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-044-042",
            "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": "Haywood House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haywood House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Gamble
• Regina Ann Garland
• Rebecca Ruth Giannetti, PHARMD
• Adalberto Gil
• Chandi Gilbertson, COTA/L
• Patricia M Hendrix, BSPT
• Brandon Bradley Herndon, MD
• Ingles Markets Inc
• Integrity Lab Services LLC
• Isaac Quilhot and Soojin Lee, PLLC

• Adult Care Home Facility in Canton, NC
• Providers in Canton, 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 Nov 2, 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.

Verify at the official NPI Registry.