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Clemmons Village I, LLC

Assisted Living Facility in Clemmons, NC · enumerated 2006 · authorized official Kelly Scott, Business Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013008234

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Registry record

Entity type Organization (Type 2)
Legal business name Clemmons Village I, LLC
Other name <Unavail>
Practice address 6401 Holder Rd, Clemmons, NC, 27012
Phone (336) 766-2990
Fax (336) 766-2138
Enumeration date Sep 27, 2006
Last updated in NPPES Jun 25, 2026

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License HAL-034-090 (NC) Primary

Authorized official

Name Kelly Scott
Title Business Office Manager
Phone (336) 766-2990

Other identifiers

Identifier Type State Issuer
7805214 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Clemmons Village I, LLC?
The NPI for Clemmons Village I, LLC is 1013008234, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clemmons Village I, LLC?
NPPES lists Kelly Scott (Business Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-25.