PATRIOT LIVING OF YADKINVILLE
NPI 1215440813
Custodial Care Facility - Adult Care Home in Yadkinville, NC
About Patriot Living Of Yadkinville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRIOT LIVING OF YADKINVILLE (NPI 1215440813) is a healthcare organization registered as an adult care home in Yadkinville, North Carolina and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Jonathan S Short, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 34D2197872
Integrity Patviot Living · Yadkinville, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Integrity - Patriot Living, LLC's NPI number?
The NPI number for Integrity - Patriot Living, LLC is 1215440813. It was assigned to this organization in the NPPES registry on November 6, 2017. The provider is doing business as Patriot Living Of Yadkinville.
Where is Integrity - Patriot Living, LLC located?
Integrity - Patriot Living, LLC is located at 409 Harrison Ave, Yadkinville, NC 27055. The listed phone number is (336) 677-1086.
What is Integrity - Patriot Living, LLC's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Does Integrity - Patriot Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2197872) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Integrity - Patriot Living, LLC was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Patriot Living Of Yadkinville · NPI 1215440813
Adult Care Home organization in Yadkinville, North Carolina. Organization record, active in the CMS NPPES registry since November 6, 2017.
## Identity
- **NPI:** 1215440813 (Entity type: Organization)
- **Enumerated:** November 6, 2017
- **Primary specialty:** Custodial Care Facility - Adult Care Home · taxonomy 311ZA0620X
- **Legal business name:** Integrity - Patriot Living, Llc
- **Organization subpart:** No
- **Authorized official:** Jonathan Short, CFO
## Practice location
- **Address:** 409 HARRISON AVE, Yadkinville, NC 27055-8248
- **Phone:** (336) 677-1086
## Record status
- **NPPES last updated:** November 18, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215440813) · Data from the CMS NPPES public registry.