Clemmons Village Ii

LBN: Clemmons Assisted Living Llc
Clemmons Village Ii is an health care organization with primary practice located at 6441 Holder Rd , Clemmons NC 27012-9207. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Clemmons Assisted Living Llc can be contacted via phone (336) 778-8548, or through Baccala, Aldo via phone (707) 778-6713.

Contact Information

Primary practice address
6441 Holder Rd Clemmons NC 27012-9207
Phone: (336) 778-8548
Fax: (336) 778-8875
Website:
Map and Directions
Authorized official contact:
Name: Baccala, Aldo
Phone: (707) 778-6713

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-034-062 North Carolina

Profile Details

NPI number 1649355439
LBN Legal business name Clemmons Assisted Living Llc
DBA Doing business as Clemmons Village Ii
Authorized official Baccala, Aldo
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 22nd, 2020 - about 5 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649355439 NPPES
North Carolina MEDICAID 7804691

Popular Providers