Kingswood Reserve

LBN: Clayton Opco, Llc
Kingswood Reserve is an health care organization with primary practice located at 263 Mckenzie Ridge Dr , Clayton NC 27527. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Transportation Services / Non-emergency Medical Transport (VAN). Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Clayton Opco, Llc can be contacted via phone (984) 257-9105, or through Trefzger, Charles E via phone (828) 322-5535.

Contact Information

Primary practice address
263 Mckenzie Ridge Dr Clayton NC 27527
Phone: (984) 257-9105
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Trefzger, Charles E
Phone: (828) 322-5535

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1427778513
LBN Legal business name Clayton Opco, Llc
DBA Doing business as Kingswood Reserve
Authorized official Trefzger, Charles E
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2022
Last updated Jan 16th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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