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ELMS AT TANGLEWOOD, LLC
NPI 1902903289
Assisted Living Facility in Clemmons, NC

Active since September 20, 2006CLIA 34D2017454 · Waiver
3750 HARPER RD, CLEMMONS, NC 27012(336) 766-2131(336) 766-2160 Get Directions Write a Review

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

About Elms At Tanglewood, Llc NPPES

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

ELMS AT TANGLEWOOD, LLC (NPI 1902903289) is a healthcare organization registered as an assisted living facility in Clemmons, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Michelle Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1902903289
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELMS AT TANGLEWOOD, LLC
Location Address3750 HARPER RDClemmons, NC 27012-8682
Mailing AddressPo Box 349Clemmons, NC 27012-0349 · (336) 766-2131 · Fax (336) 766-2160
Phone(336) 766-2131
Fax(336) 766-2160
Organization SubpartNo
Authorized OfficialMichelle JonesOffice Manager · (336) 766-2131
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902903289 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-034-034
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.
3750 HARPER RD, Clemmons, NC 27012
Open in Google Maps ↗

Other Identifiers 1

Medicaid7803705NC

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 34D2017454

Lsa Elms At Tanglewood Inc Dba Elms At Tanglewood Inc · Clemmons, NC
Active · expires Dec 12, 2026
CLIA Number34D2017454
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorFrandee Nichols
Laboratory Phone(336) 766-2131
Laboratory LocationLsa Elms At Tanglewood Inc Dba Elms At Tanglewood Inc3750 Harper 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

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

LSA ELMS AT TANGLEWOOD, INC.
Assisted Living Facility
3750 HARPER RD
CLEMMONS, NC 27012
Forsyth County (336) 766-2131

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 Elms At Tanglewood, LLC's NPI number?

The NPI number for Elms At Tanglewood, LLC is 1902903289. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Elms At Tanglewood, LLC located?

Elms At Tanglewood, LLC is located at 3750 Harper Rd, Clemmons, NC 27012. The listed phone number is (336) 766-2131.

What is Elms At Tanglewood, LLC's specialty?

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

Does Elms At Tanglewood, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017454) is associated with this NPI, valid through December 12, 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 Elms At Tanglewood, LLC 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.