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SOMERSET COURT OF MOCKSVILLE
NPI 1114082419
Custodial Care Facility - Adult Care Home in Mocksville, NC

Active since December 27, 2006CLIA 34D2113746 · Waiver
150 KEN DWIGGINS DR, MOCKSVILLE, NC 27028(336) 751-1209(336) 751-0601 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Somerset Court Of Mocksville NPPES

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

SOMERSET COURT OF MOCKSVILLE (NPI 1114082419) is a healthcare organization registered as an adult care home in Mocksville, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists William Benton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114082419
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNCAL- MOCKVILLE, INC.
Location Address150 KEN DWIGGINS DRMocksville, NC 27028-2439
Mailing Address1105 Brookstown AveWinston Salem, NC 27101-2524 · (336) 724-1000 · Fax (336) 724-9955
Phone(336) 751-1209
Fax(336) 751-0601
Organization SubpartNo
Authorized OfficialWilliam BentonCeo · (336) 724-1000
Enumeration DateDecember 27, 2006
Last NPPES UpdateNovember 8, 2013
✔ NPI 1114082419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · HAL-030-004
Definition
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.
150 KEN DWIGGINS DR, Mocksville, NC 27028
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Other Names 1

Doing Business AsSomerset Court Of Mocksville

Other Identifiers 1

Medicaid7805398NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2113746

Somerset Court Of Mocksville · Mocksville, NC
Active · expires May 30, 2028
CLIA Number34D2113746
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorAmy Shearer
Laboratory Phone(336) 751-1209
Laboratory LocationSomerset Court Of Mocksville150 Ken Dwiggings Drive, Mocksville, NC 27028
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JFC MERIDIAN OPCO-MOCKSVILLE
Custodial Care Facility (Adult Care Home)
150 KEN DWIGGINS DR
MOCKSVILLE, NC 27028
Davie County (336) 751-1209
MONICA SHAWNTAE LACKEY OTR/L
Occupational Therapist
150 KEN DWIGGINS DR
MOCKSVILLE, NC 27028
Davie County (336) 751-1209

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 Ncal- Mockville, Inc.'s NPI number?

The NPI number for Ncal- Mockville, Inc. is 1114082419. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Somerset Court Of Mocksville.

Where is Ncal- Mockville, Inc. located?

Ncal- Mockville, Inc. is located at 150 Ken Dwiggins Dr, Mocksville, NC 27028. The listed phone number is (336) 751-1209.

What is Ncal- Mockville, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Ncal- Mockville, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2113746) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ncal- Mockville, Inc. was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.