Clemmons Assisted Living Llc in Clemmons - Assisted Living Facility
Clemmons Assisted Living Llc - NPI 1649355439
Clemmons Assisted Living Llc is a Assisted Living Facility in Clemmons, North Carolina. Clemmons Assisted Living Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Clemmons Assisted Living Llc is 1649355439. The last update date is 2020-08-22.
Clemmons Assisted Living Llc's current location address is 6441 Holder Rd, Clemmons, North Carolina. You can contact this provider via phone number 3367788548 and fax number 3367788875. The mailing address for Clemmons Assisted Living Llc is 6441 Holder Rd, Clemmons, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clemmons Assisted Living Llc |
|---|---|
| Address | 6441 Holder Rd, Clemmons, North Carolina |
| Phone Number | 3367788548 |
| Fax Number | 3367788875 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER / MA |
|---|---|
| Authorized Official Name | Baccala Aldo |
| Telephone Number | 7077786713 |
NPI Number Detail
| NPI Number | 1649355439 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6441 Holder Rd |
|---|---|
| City | Clemmons |
| State | North Carolina (NC) |
| Post Code | 270129207 |
| Phone Number | 3367788548 |
| Fax Number | 3367788875 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | HAL-034-062 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804691 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clemmons Assisted Living Llc by the Centers for Medicare & Medicaid Services?
The Clemmons Assisted Living Llc has been issued the NPI (National Provider Identifier) 1649355439 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Clemmons Assisted Living Llc is geographically located?
The Clemmons Assisted Living Llc is physically situated at the following location: 6441 Holder Rd, Clemmons, NC, 270129207.
What is the area of specialization for Clemmons Assisted Living Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clemmons Assisted Living Llc is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of expertise is 310400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649355439 to Clemmons Assisted Living Llc?
The Centers for Medicare & Medicaid Services assigned the 1649355439 to Clemmons Assisted Living Llc on 2006-10-27.
As of what date were the details related to Clemmons Assisted Living Llc most recently updated or revised?
The information pertaining to Clemmons Assisted Living Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.