CLEMMONS ROAD OPERATING COMPANY, LLC
NPI 1477326635
Skilled Nursing Facility in Clemmons, NC

Active since October 31, 2023CLIA 34D0237025 · Waiver
3905 CLEMMONS RD, CLEMMONS, NC 27012(336) 766-9158 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clemmons Road Operating Company, Llc NPPES

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

CLEMMONS ROAD OPERATING COMPANY, LLC (NPI 1477326635) is a healthcare organization registered as a skilled nursing facility in Clemmons, North Carolina and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Yosef Emanuel, Member, as its authorized official.

NPPES Registry Identity

NPI1477326635
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLEMMONS ROAD OPERATING COMPANY, LLC
Location Address3905 CLEMMONS RDClemmons, NC 27012-8479
Mailing Address3905 Clemmons RdClemmons, NC 27012-8479 · (336) 766-9158
Organization SubpartNo
Authorized OfficialYosef EmanuelMember · (917) 745-7945
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
NPI 1477326635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3905 CLEMMONS RD, Clemmons, NC 27012

Accepted Insurance

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 34D0237025

Clemmons Road Operating Company, LLC · Clemmons, NC
Active · expires Aug 31, 2026
CLIA Number34D0237025
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaura Patric
Laboratory Phone(336) 766-9158
Laboratory LocationClemmons Road Operating Company, LLC3905 Clemmons Rd, Clemmons, NC 27012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Occupational Therapist
3905 CLEMMONS RD
CLEMMONS, NC 27012
Occupational Therapist
3905 CLEMMONS RD
CLEMMONS, NC 27012
Physical Medicine & Rehabilitation
3905 CLEMMONS RD
CLEMMONS, NC 27012
Occupational Therapist
3905 CLEMMONS RD
CLEMMONS, NC 27012
Speech-Language Pathologist
3905 CLEMMONS RD
CLEMMONS, NC 27012
Skilled Nursing Facility
3905 CLEMMONS RD
CLEMMONS, NC 27012
Skilled Nursing Facility
3905 CLEMMONS RD
CLEMMONS, NC 27012

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 Clemmons Road Operating Company, LLC's NPI number?

The NPI number for Clemmons Road Operating Company, LLC is 1477326635. It was assigned to this organization in the NPPES registry on October 31, 2023.

Where is Clemmons Road Operating Company, LLC located?

Clemmons Road Operating Company, LLC is located at 3905 Clemmons Rd, Clemmons, NC 27012. The listed phone number is (336) 766-9158.

What is Clemmons Road Operating Company, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Clemmons Road Operating Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0237025) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clemmons Road Operating Company, LLC accept?

Health plans from UnitedHealthcare list Clemmons Road Operating Company, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clemmons Road Operating Company, LLC was last updated on October 31, 2023. 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.