DOGWOOD FOREST NO. TWO
NPI 1164542882
Custodial Care Facility - Adult Care Home in Elon, NC

Q: What is Mildred Blackwell's NPI number?

The NPI number for Mildred Blackwell is 1164542882. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Dogwood Forest No. Two.

Q: What is Mildred Blackwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mildred Blackwell was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 29, 2007

3658 CHERRY GROVE RD, ELON, NC 27244(336) 421-0646 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dogwood Forest No. Two NPPES

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

DOGWOOD FOREST NO. TWO (NPI 1164542882) is a healthcare organization registered as an adult care home in Elon, North Carolina and active in the NPI registry since March 2007. The organization lists Mildred Blackwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1164542882

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameMILDRED BLACKWELL

Location Address3658 CHERRY GROVE RDElon, NC 27244-9483

Mailing Address203 N Main St, Suite 315Roxboro, NC 27573-5343 · (336) 421-0646

Phone(336) 421-0646

Organization SubpartNo

Authorized OfficialMildred BlackwellOwner · (336) 421-0646

Enumeration DateMarch 29, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1164542882 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 · HAL017003

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.

3658 CHERRY GROVE RD, Elon, NC 27244

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Other Names 1

Doing Business AsDogwood Forest No. Two

Other Identifiers 1

Medicaid7801723NC

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 Mildred Blackwell's NPI number?

The NPI number for Mildred Blackwell is 1164542882. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Dogwood Forest No. Two.

Where is Mildred Blackwell located?

Mildred Blackwell is located at 3658 Cherry Grove Rd, Elon, NC 27244. The listed phone number is (336) 421-0646.

What is Mildred Blackwell's specialty?

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

When was this NPI record last updated?

The NPPES record for Mildred Blackwell was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.