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GAHC3 CLEMMONS NC TRS SUB LLC NPI 1285285601


NPI Information

NPI: 1285285601
Provider Name: GAHC3 CLEMMONS NC TRS SUB, LLC

Doing Business As: CADENCE AT CLEMMONS

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
1165 S PEACE HAVEN RD
CLEMMONS, NC
ZIP 27012
Phone: (336) 766-6220
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GAHC3 CLEMMONS NC TRS SUB, LLC is a custodial care facility in Clemmons, NC. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. GAHC3 CLEMMONS NC TRS SUB, LLC NPI is 1285285601. The provider is registered as an organization entity type.
The provider Is Doing Business As Cadence At Clemmons.

The provider's business location address is:

1165 S PEACE HAVEN RD
CLEMMONS, NC
ZIP 27012-910
Phone: (336) 766-6220
Fax: (336) 766-7613

The provider's authorized official is Danny Prosky .
The authorized official title is President and has the following contact phone number (949) 270-9200.

The enumeration date for this NPI number is 9/26/2019 and was last updated on 10/28/2019.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeNo
2311Z00000XCustodial Care FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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