Clemmons Assisted Living LLC
Clemmons Assisted Living LLC is a healthcare organization registered as Assisted Living Facility in Clemmons, NC, holding Type 2 (organization) NPI 1649355439 since 2006. The authorized official on file is Aldo Baccala, Owner / Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649355439 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clemmons Assisted Living LLC |
| Other name | <Unavail> |
| Practice address | 6441 HOLDER RD, Clemmons, NC, 27012 |
| Phone | 3367788548 |
| Fax | 3367788875 |
| Enumeration date | 2006-10-27 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Aldo Baccala |
|---|---|
| Title | Owner / Manager |
| Phone | 7077786713 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | HAL-034-062 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804691 | Medicaid | NC | — |
Copy-ready billing details
Provider: Clemmons Assisted Living LLC NPI: 1649355439 Taxonomy: 310400000X (Assisted Living Facility) Address: 6441 HOLDER RD, Clemmons, NC, 27012
Verify this record
Cross-check NPI 1649355439 against the authoritative CMS record: view Clemmons Assisted Living LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Clemmons Assisted Living LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.