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

Port South Village

Organization Assisted Living Facility · NPI 1285753269

Port South Village is an Assisted Living Facility in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
6
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Practice location Address checks out

210 Covil Ave
Wilmington, NC 28403-0711
Phone: (910) 814-1223
Fax: (910) 814-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence HAL-065-008 (NC)
Assisted Living Facility Taxonomy 310400000X · Licence HAL- 065-606 (NC)
Assisted Living Facility Taxonomy 310400000X · Licence HAL-065-005 (NC)
Assisted Living Facility Taxonomy 310400000X · Licence HAL-065-009 (NC)
Assisted Living Facility Taxonomy 310400000X · Licence HAL-065-010 (NC)
Assisted Living Facility Taxonomy 310400000X · Licence HAL-065-007 (NC)

Record details

NPI number1285753269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Buddy Lockamy — Administrator · (910) 814-1223
Other names Port South Village
NPI enumeratedMarch 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 4669, Wilmington, NC 28406-1669

Other providers in Wilmington