ELMS AT TANGLEWOOD LLC NPI 1902903289

NPI Information

  • NPI: 1902903289
  • Provider Name: ELMS AT TANGLEWOOD, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 3750 HARPER RD
    CLEMMONS, NC
    ZIP 27012
  • Phone: (336) 766-2131

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NPI Details

ELMS AT TANGLEWOOD, LLC is an assisted living facility in Clemmons, NC. The provider is 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. ELMS AT TANGLEWOOD, LLC NPI is 1902903289. The provider is registered as an organization entity type.

The provider's business location address is:

3750 HARPER RD
CLEMMONS, NC
ZIP 27012-682
Phone: (336) 766-2131
Fax: (336) 766-2160

The provider's authorized official is Michelle Jones .
The authorized official title is Office Manager and has the following contact phone number (336) 766-2131.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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 FacilityHAL-034-034NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17803705MEDICAIDNORTH CAROLINA

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: 11/21/2025

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