MALLARD RIDGE ASSISTED LIVING
NPI 1013473537
Custodial Care Facility - Adult Care Home in Clemmons, NC
NPI Status: Active since February 20, 2019
Contact Information
9420 N NC HWY 150
CLEMMONS, NC
ZIP 27012
Phone: (336) 775-2205
Fax: (336) 775-2207
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 34D2149405
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-03-2028
About MALLARD RIDGE ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Mallard Ridge Assisted Living, a provider established in Clemmons, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1013473537 assigned on February 2019. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Mallard Ridge Assisted Living. The authorized official of this NPI record is Cindy Ann Neagle (Vp Finance)
- NPI
- 1013473537
- Provider Legal Name
- RIDGE CARE MANAGEMENT, INC.
- Other Organization Name
- MALLARD RIDGE ASSISTED LIVING
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 9420 N NC HWY 150 CLEMMONS, NC 27012
- Location Phone
- (336) 775-2205
- Location Fax
- (336) 775-2207
- Mailing Address
- 853 OLD WINSTON RD STE 118 KERNERSVILLE, NC 27284
- Mailing Phone
- (336) 993-7555
- Mailing Fax
- (336) 775-2207
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2019
- Last Update Date
- 04-22-2020
- Code Navigator
Location Map
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 Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2149405
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 04, 2026
- Certificate Expiration Date
- June 03, 2028
- Laboratory Director
- AMANDA-KAY EDWARDS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mallard Ridge Assisted Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013473537, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CLEMMONS, NC 27012
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013473537, enumerated as an "organization" on February 20, 2019.
The provider is located at 9420 N NC HWY 150 CLEMMONS, NC 27012 and the phone number is (336) 775-2205.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
