Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leaksville Rest Home, LLC

Organization Adult Care Home Facility · NPI 1285054593

Leaksville Rest Home, LLC is an Adult Care Home Facility in Eden, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 Irving Ave
Eden, NC 27288-5509
Phone: (336) 280-5637
Fax: (336) 635-9004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence FCL-079-096 (NC)

Record details

NPI number1285054593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Clark — Sole Member Manager/Administrator · (336) 280-5637
NPI enumeratedApril 25, 2014
Last updated in NPPESApril 25, 2014
Mailing address915 Irving Ave, Eden, NC 27288-5509

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