SOMERSET COURT OF MOCKSVILLE
NPI 1649654773
Custodial Care Facility - Adult Care Home in Mocksville, NC
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 34D2113746
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 05-30-2026
About SOMERSET COURT OF MOCKSVILLE
This page provides the complete NPI Profile along with additional information for Somerset Court Of Mocksville, a provider established in Mocksville, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1649654773 assigned on July 2015. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Somerset Court Of Mocksville. The authorized official of this NPI record is Charles E Trefzger (Manager)
- NPI
- 1649654773 Verify this NPI
- Provider Legal Name
- JFC MERIDIAN OPCO-MOCKSVILLE
- Other Organization Name
- SOMERSET COURT OF MOCKSVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 150 KEN DWIGGINS DR MOCKSVILLE, NC 27028
- Location Phone
- (336) 751-1209
- Location Fax
- (336) 751-0602
- Mailing Address
- PO BOX 2568 HICKORY, NC 28603
- Mailing Phone
- (828) 322-5535
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2015
- Last Update Date
- 10-26-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | HAL-030-008 (NC) |
| 2 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
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
- 34D2113746
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- May 31, 2024
- Certificate Expiration Date
- May 30, 2026
- Laboratory Director
- AMY SHEARER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Somerset Court Of Mocksville 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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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MOCKSVILLE, NC 27028
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649654773, enumerated as an "organization" on July 18, 2015.
The provider is located at 150 KEN DWIGGINS DR MOCKSVILLE, NC 27028 and the phone number is (336) 751-1209.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
