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CREEKSIDE MANOR OF FORSYTH, LLC
NPI 1376628735
Assisted Living Facility in Kernersville, NC

Active since October 26, 2006
6206 REIDSVILLE RD, KERNERSVILLE, NC 27284(336) 722-6054 Get Directions Write a Review

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

About Creekside Manor Of Forsyth, Llc NPPES

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

CREEKSIDE MANOR OF FORSYTH, LLC (NPI 1376628735) is a healthcare organization registered as an assisted living facility in Kernersville, North Carolina and active in the NPI registry since October 2006. The organization lists Candace P Hammonds, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1376628735
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCREEKSIDE MANOR OF FORSYTH, LLC
Location Address6206 REIDSVILLE RDKernersville, NC 27284-7609
Mailing AddressPo Box 1487Kernersville, NC 27285-1487 · (336) 595-1075
Phone(336) 722-6054
Organization SubpartNo
Authorized OfficialCandace P HammondsManaging Member · (336) 595-6004
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376628735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-034-060
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6206 REIDSVILLE RD, Kernersville, NC 27284
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Other Identifiers 1

Medicaid7804346NC

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 Creekside Manor Of Forsyth, LLC's NPI number?

The NPI number for Creekside Manor Of Forsyth, LLC is 1376628735. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Creekside Manor Of Forsyth, LLC located?

Creekside Manor Of Forsyth, LLC is located at 6206 Reidsville Rd, Kernersville, NC 27284. The listed phone number is (336) 722-6054.

What is Creekside Manor Of Forsyth, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Creekside Manor Of Forsyth, LLC 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.