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Leaksville Rest Home, LLC

Adult Care Home Facility in Eden, NC · enumerated 2014 · authorized official Pamela Clark, Sole Member Manager/Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285054593

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Registry record

Entity type Organization (Type 2)
Legal business name Leaksville Rest Home, LLC
Practice address 915 Irving Ave, Eden, NC, 27288
Phone (336) 280-5637
Fax (336) 635-9004
Enumeration date Apr 25, 2014
Last updated in NPPES Apr 25, 2014

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License FCL-079-096 (NC) Primary

Authorized official

Name Pamela Clark
Title Sole Member Manager/Administrator
Phone (336) 280-5637

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-04-25. Verify at npiregistry.cms.hhs.gov.
Where is Leaksville Rest Home, LLC located?
The practice location on file with NPPES is in Eden, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-04-25.