DBA BROCKFORD INN INC
NPI 1720188915
Assisted Living Facility in Granite Falls, NC

Q: What is Camelot Manor Inc's NPI number?

The NPI number for Camelot Manor Inc is 1720188915. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Dba Brockford Inn Inc.

Q: What is Camelot Manor Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Camelot Manor Inc was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 25, 2006CLIA 34D2017744 · Waiver

56 N HIGHLAND AVE, DBA BROCKFORD INN INC, GRANITE FALLS, NC 28630(828) 396-3111(828) 396-5822 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dba Brockford Inn Inc NPPES

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

DBA BROCKFORD INN INC (NPI 1720188915) is a healthcare organization registered as an assisted living facility in Granite Falls, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Judith Barlow, Administrator/ Owner, as its authorized official.

NPPES Registry Identity

NPI1720188915

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCAMELOT MANOR INC

Location Address56 N HIGHLAND AVE, DBA BROCKFORD INN INCGranite Falls, NC 28630-1205

Mailing AddressPo Box 58, Dba Brockford Inn IncGranite Falls, NC 28630-0058 · (828) 396-3111 · Fax (828) 396-5822

Phone(828) 396-3111

Fax(828) 396-5822

Organization SubpartNo

Authorized OfficialJudith BarlowAdministrator/ Owner · (828) 396-3111

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 15, 2008

✔ NPI 1720188915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in NC · HAL-014-014

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.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License HAL-014-014 (NC)

56 N HIGHLAND AVE, Granite Falls, NC 28630

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Other Names 1

Doing Business AsDba Brockford Inn Inc

Other Identifiers 2

Other600480534NC · State Number

Medicaid7805030NC

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 34D2017744

Brockford Inn Assisted Living · Granite Falls, NC

Active · expires Dec 16, 2026

CLIA Number34D2017744

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 17, 2024

Certificate Expiration DateDecember 16, 2026

Laboratory DirectorJudith Barlow

Laboratory Phone(828) 396-3111

Laboratory LocationBrockford Inn Assisted Living56 N Highland Ave, Granite Falls, NC 28630

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MS. DARLENE BERRY LCSW

Social Worker (Clinical)

56 N HIGHLAND AVE
GRANITE FALLS, NC 28630

Caldwell County (800) 632-6074

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 Camelot Manor Inc's NPI number?

The NPI number for Camelot Manor Inc is 1720188915. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Dba Brockford Inn Inc.

Where is Camelot Manor Inc located?

Camelot Manor Inc is located at 56 N Highland Ave Dba Brockford Inn Inc, Granite Falls, NC 28630. The listed phone number is (828) 396-3111.

What is Camelot Manor Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Camelot Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017744) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Camelot Manor Inc was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.