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Lsa Elms at Tanglewood, Inc.

Assisted Living Facility in Clemmons, NC · enumerated 2009 · authorized official Deborah Mathis, Coo.

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

National Provider Identifier

1962648543

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Registry record

Entity type Organization (Type 2)
Legal business name Lsa Elms at Tanglewood, Inc.
Other name <Unavail>
Parent organization Lutheran Services for the Aging
Practice address 3750 Harper Rd, Clemmons, NC, 27012
Phone (336) 766-2131
Fax (336) 766-2160
Enumeration date Jan 2, 2009
Last updated in NPPES Jan 2, 2009

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License HAL034085 (NC) Primary
311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities · License HAL034085 (NC) Secondary

Authorized official

Name Deborah Mathis
Title Coo
Phone (704) 637-2870

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

Who is the authorized official for Lsa Elms at Tanglewood, Inc.?
NPPES lists Deborah Mathis (Coo) as the authorized official for this organization.
What is the NPI number for Lsa Elms at Tanglewood, Inc.?
The NPI for Lsa Elms at Tanglewood, Inc. is 1962648543, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-02.