CEDAR ROCK ASSISTED LIVING, LLC (NPI# 1023140803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023140803 |
| Entity Type | Organization |
| Organization Name | CEDAR ROCK ASSISTED LIVING, LLC |
| Practice Address |
191 Crestview Dr Mocksville NC 27028-2643 |
| Mailing Address |
Po Box 9790 Asheville NC 28815-0790 |
| Practice Telephone | 3367511515 |
| Mailing Telephone | 3364167149 |
| Mailing Fax Number | 3367515430 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | RONALD B DODSON (PRESIDENT) |
| Authorized Official Telephone | 3364167149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL 030 006 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804349 | 05 |
| Street Address |
191 CRESTVIEW DR |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265608467 | The Heritage of Cedar Rock | Assisted Living Facility | 191 Crestview Dr, Mocksville, NC 27028-2643 | 2008-05-07 |
| 1902087760 | Cedar Rock of Mocksville, LLC | Assisted Living Facility | 191 Crestview Dr, Mocksville, NC 27028-2643 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902981608 | Davie Partners, Inc. | Assisted Living Facility | 337 Hospital St, Mocksville, NC 27028-2060 | 2006-10-25 |
| 1811421456 | Mocksville Opco, LLC | Assisted Living Facility | 337 Hospital St, Mocksville, NC 27028-2060 | 2017-04-19 |
| 1649654773 | Jfc Meridian Opco-mocksville | Assisted Living Facility | 150 Ken Dwiggins Dr, Mocksville, NC 27028-2439 | 2015-07-18 |
| 1265608467 | The Heritage of Cedar Rock | Assisted Living Facility | 191 Crestview Dr, Mocksville, NC 27028-2643 | 2008-05-07 |
| 1902087760 | Cedar Rock of Mocksville, LLC | Assisted Living Facility | 191 Crestview Dr, Mocksville, NC 27028-2643 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
Please comment or provide details below to improve the information on CEDAR ROCK ASSISTED LIVING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.