MOCKSVILLE OPCO LLC NPI 1811421456

NPI Information

  • NPI: 1811421456
  • Provider Name: MOCKSVILLE OPCO, LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: MOCKSVILLE SENIOR LIVING AND MEMORY CARE
  • Address: 337 HOSPITAL ST
    MOCKSVILLE, NC
    ZIP 27028
  • Phone: (336) 751-2175

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NPI Details

MOCKSVILLE OPCO, LLC is an adult care home custodial care facility in Mocksville, 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. MOCKSVILLE OPCO, LLC NPI is 1811421456. The provider is registered as an organization entity type.
The provider Is Doing Business As Mocksville Senior Living And Memory Care.

The provider's business location address is:

337 HOSPITAL ST
MOCKSVILLE, NC
ZIP 27028-060
Phone: (336) 751-2175
Fax: (336) 751-0136

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 enumeration date for this NPI number is 4/19/2017 and was last updated on 11/2/2021.

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 FacilityHAL030009NORTH CAROLINANo
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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