CLEMMONS VILLAGE II
NPI 1649355439
Assisted Living Facility in Clemmons, NC
About Clemmons Village Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEMMONS VILLAGE II (NPI 1649355439) is a healthcare organization registered as an assisted living facility in Clemmons, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Aldo Baccala, Owner / Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2027875
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- August 03, 2025
- Certificate Expiration Date
- August 02, 2027
- Laboratory Director
- CINDY REHMEYER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clemmons Village Ii to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649355439, enumerated as an "organization" on October 27, 2006.
The provider is located at 6441 HOLDER RD CLEMMONS, NC 27012 and the phone number is (336) 778-8548.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
