MT. AIRY OPCO LLC NPI 1033885801

NPI Information

  • NPI: 1033885801
  • Provider Name: MT. AIRY OPCO, LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 34D2239621
  • Address: 1297 GALAX TRL
    MOUNT AIRY, NC
    ZIP 27030
  • Phone: (336) 786-1130

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NPI Details

MT. AIRY OPCO, LLC is an adult care home custodial care facility in Mount Airy, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MT. AIRY OPCO, LLC NPI is 1033885801. The provider is registered as an organization entity type.

The provider's business location address is:

1297 GALAX TRL
MOUNT AIRY, NC
ZIP 27030-776
Phone: (336) 786-1130

The provider's authorized official is Charles E Trefzger .
The authorized official title is Manager and has the following contact phone number (828) 322-5535.

The CLIA number assigned to this NPI record is 34D2239621 - other - assertive comm treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2021 and was last updated on 8/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNo
2343900000XNon-emergency Medical Transport (VAN)No
3311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

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This page was last updated on: 11/21/2025

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