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KINGSWOOD RESERVE
NPI 1427778513
Custodial Care Facility - Adult Care Home in Clayton, NC

Active since August 30, 2022
263 MCKENZIE RIDGE DR, CLAYTON, NC 27527(984) 257-9105 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kingswood Reserve NPPES

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

KINGSWOOD RESERVE (NPI 1427778513) is a healthcare organization registered as an adult care home in Clayton, North Carolina and active in the NPI registry since August 2022. The organization lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1427778513
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCLAYTON OPCO, LLC
Location Address263 MCKENZIE RIDGE DRClayton, NC 27527
Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 322-5535
Phone(984) 257-9105
Organization SubpartNo
Authorized OfficialCharles E TrefzgerManager · (828) 322-5535
Enumeration DateAugust 30, 2022
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1427778513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
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.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
263 MCKENZIE RIDGE DR, Clayton, NC 27527
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Other Names 1

Doing Business AsKingswood Reserve

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 34D2308647

Clayton Opco, LLC · Clayton, NC
Expired · Jul 30, 2026
CLIA Number34D2308647
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorJason Castro
Laboratory Phone(984) 257-9105
Laboratory LocationClayton Opco, LLC263 Mckenzie Ridge Dr, Clayton, NC 27527
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clayton Opco, LLC's NPI number?

The NPI number for Clayton Opco, LLC is 1427778513. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is doing business as Kingswood Reserve.

Where is Clayton Opco, LLC located?

Clayton Opco, LLC is located at 263 Mckenzie Ridge Dr, Clayton, NC 27527. The listed phone number is (984) 257-9105.

What is Clayton Opco, LLC'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 Clayton Opco, LLC was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.