OrganizationActive
Leaksville Rest Home, LLC
NPI 1285054593 · Adult Care Home Facility · Eden, NC
Leaksville Rest Home, LLC is a Adult Care Home Facility organization in Eden, NC (NPI 1285054593).
Provider details
- NPI number
- 1285054593
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Clark, Sole Member Manager/Administrator(336) 280-5637
- License
- FCL-079-096 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
915 Irving Ave
Eden, NC 27288-5509
Phone: (336) 280-5637
Fax: (336) 635-9004
Street-level locationGet directions
Mailing address
915 Irving Ave
Eden, NC 27288-5509
Registry dates
- Enumerated
- 2014-04-25
- Last updated
- 2014-04-25
Frequently asked questions
- What is Leaksville Rest Home, LLC's NPI number?
- Leaksville Rest Home, LLC's National Provider Identifier (NPI) is 1285054593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leaksville Rest Home, LLC?
- Leaksville Rest Home, LLC is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Leaksville Rest Home, LLC located?
- Leaksville Rest Home, LLC's practice location on file with NPPES is 915 Irving Ave, Eden, NC 27288-5509.
- What is Leaksville Rest Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Leaksville Rest Home, LLC is (336) 280-5637.
- Who is the authorized official for Leaksville Rest Home, LLC?
- The authorized official listed on Leaksville Rest Home, LLC's NPPES record is Pamela Clark, Sole Member Manager/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leaksville Rest Home, LLC's NPI active?
- Yes — Leaksville Rest Home, LLC's NPI (1285054593) is active in the NPPES registry as of the last update on 2014-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.