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MOUNT EAGLE HEALTH CARE - CLEMMONS, LLC
NPI 1043683188
Nursing Care in Clemmons, NC

Active since November 12, 2015
2554 LEWISVILLE CLEMMONS RD # 306, CLEMMONS, NC 27012(336) 934-4227 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mount Eagle Health Care - Clemmons, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT EAGLE HEALTH CARE - CLEMMONS, LLC (NPI 1043683188) is a healthcare organization registered as a nursing care in Clemmons, North Carolina and active in the NPI registry since November 2015. The organization lists Bahati N Simtaji, Director, as its authorized official.

NPPES Registry Identity

NPI1043683188
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameMOUNT EAGLE HEALTH CARE - CLEMMONS, LLC
Location Address2554 LEWISVILLE CLEMMONS RD # 306Clemmons, NC 27012-8110
Mailing Address2554 Lewisville Clemmons Rd # 306Clemmons, NC 27012-8110 · (336) 934-4227
Phone(336) 934-4227
Organization SubpartNo
Authorized OfficialBahati N SimtajiDirector · (336) 934-4227
Enumeration DateNovember 12, 2015
✔ NPI 1043683188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in NC · HC1587
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License HC1587 (NC)
2554 LEWISVILLE CLEMMONS RD # 306, Clemmons, NC 27012
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mount Eagle Health Care - Clemmons, LLC's NPI number?

The NPI number for Mount Eagle Health Care - Clemmons, LLC is 1043683188. It was assigned to this organization in the NPPES registry on November 12, 2015.

Where is Mount Eagle Health Care - Clemmons, LLC located?

Mount Eagle Health Care - Clemmons, LLC is located at 2554 Lewisville Clemmons Rd # 306, Clemmons, NC 27012. The listed phone number is (336) 934-4227.

What is Mount Eagle Health Care - Clemmons, LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Mount Eagle Health Care - Clemmons, LLC was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.