CADENCE AT CLEMMONS
NPI 1285285601
Custodial Care Facility in Clemmons, NC

NPI Status: Active since September 26, 2019

Contact Information

1165 S PEACE HAVEN RD
CLEMMONS, NC
ZIP 27012
Phone: (336) 766-6220
Fax: (336) 766-7613

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  • Organization
  • Custodial Care Facility

About CADENCE AT CLEMMONS

This page provides the complete NPI Profile along with additional information for Cadence At Clemmons, a provider established in Clemmons, North Carolina operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1285285601 assigned on September 2019. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Cadence At Clemmons. The authorized official of this NPI record is Danny Prosky (President)

NPI
1285285601
Provider Legal Name
GAHC3 CLEMMONS NC TRS SUB, LLC
Other Organization Name
CADENCE AT CLEMMONS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1165 S PEACE HAVEN RD CLEMMONS, NC 27012
Location Phone
(336) 766-6220
Location Fax
(336) 766-7613
Mailing Address
18191 VON KARMAN AVE STE 300 IRVINE, CA 92612
Mailing Phone
(949) 270-9200
Mailing Fax
(336) 766-7613
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2019
Last Update Date
10-28-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANNY PROSKY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(949) 270-9200

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285285601
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165481060
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 8 + 1 + 0 + 6 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1285285601 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962803551CARILLON ASSISTED LIVING OF CLEMMONS, LLC
Organization
Custodial Care Facility1165 S PEACE HAVEN RD
CLEMMONS, NC 27012
(336) 766-6220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285285601, enumerated in the NPI registry as an "organization" on September 26, 2019

The provider is located at 1165 S Peace Haven Rd Clemmons, Nc 27012 and the phone number is (336) 766-6220

This medical organization specializes in Custodial Care Facility with taxonomy code 311Z00000X

This NPI record was last updated on September 26, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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