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CARILLON ASSISTED LIVING OF CLEMMONS LLC NPI 1962803551


NPI Information

NPI: 1962803551
Provider Name: CARILLON ASSISTED LIVING OF CLEMMONS, LLC
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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CARILLON ASSISTED LIVING OF CLEMMONS, 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. CARILLON ASSISTED LIVING OF CLEMMONS, LLC NPI is 1962803551. The provider is registered as an organization entity type.

The provider's business location address is:

1165 S PEACE HAVEN RD
CLEMMONS, NC
ZIP 27012-910
Phone: (336) 766-6220
Fax: (336) 766-6221

The provider's authorized official is Karen E Moriarty .
The authorized official title is President & Ceo and has the following contact phone number (919) 852-4000.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 9/15/2014.


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
1311Z00000XCustodial Care FacilityHAL-034-099NORTH CAROLINAYes

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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