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DEERFIELD RIDGE ASSISTED LIVING
NPI 1679604607
Assisted Living Facility in Kernersville, NC

Active since March 09, 2007
851 OLD WINSTON RD STE 107, KERNERSVILLE, NC 27284(336) 993-7555 Get Directions Write a Review

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

About Deerfield Ridge Assisted Living NPPES

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

DEERFIELD RIDGE ASSISTED LIVING (NPI 1679604607) is a healthcare organization registered as an assisted living facility in Kernersville, North Carolina and active in the NPI registry since March 2007. The organization lists Ken Quiring, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679604607
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDEERFIELD RIDGE ASSISTED LIVING
Location Address851 OLD WINSTON RD STE 107Kernersville, NC 27284-8781
Mailing Address851 Old Winston Rd Ste 107Kernersville, NC 27284-8781
Phone(336) 993-7555
Organization SubpartNo
Authorized OfficialKen QuiringExecutive Director · (336) 993-1881
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679604607 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 095 008
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.
851 OLD WINSTON RD STE 107, Kernersville, NC 27284
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Other Identifiers 1

Medicaid7805332NC

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 Deerfield Ridge Assisted Living's NPI number?

The NPI number for Deerfield Ridge Assisted Living is 1679604607. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Deerfield Ridge Assisted Living located?

Deerfield Ridge Assisted Living is located at 851 Old Winston Rd Ste 107, Kernersville, NC 27284. The listed phone number is (336) 993-7555.

What is Deerfield Ridge Assisted Living'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 Deerfield Ridge Assisted Living 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.