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MALLARD RIDGE ASSISTED LIVING
NPI 1932855400
Custodial Care Facility - Adult Care Home in Clemmons, NC

Active since February 23, 2022
9420 N NC HWY 150, CLEMMONS, NC 27012(336) 895-1293 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, Feb 23, 2022 (2 updates tracked since 2022).

About Mallard Ridge Assisted Living NPPES

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

MALLARD RIDGE ASSISTED LIVING (NPI 1932855400) is a healthcare organization registered as an adult care home in Clemmons, North Carolina and active in the NPI registry since February 2022. The organization lists Jennilee Richardson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1932855400
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRSS/CLEMMONS OPERATIONS, LLC
Location Address9420 N NC HWY 150Clemmons, NC 27012-6853
Mailing Address5430 Wade Park Blvd Ste 310Raleigh, NC 27607-4191 · (919) 371-4233
Phone(336) 895-1293
Organization SubpartNo
Authorized OfficialJennilee RichardsonChief Financial Officer · (919) 371-4233
Enumeration DateFebruary 23, 2022
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1932855400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
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.
9420 N NC HWY 150, Clemmons, NC 27012
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Other Names 1

Doing Business AsMallard Ridge Assisted Living

Other Providers at the Same Location NPPES 2

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

RIDGE CARE MANAGEMENT, INC.
Custodial Care Facility (Adult Care Home)
9420 N NC HWY 150
CLEMMONS, NC 27012
Forsyth County (336) 775-2205
KATHY SANGER OT
Occupational Therapist
9420 N NC HWY 150
CLEMMONS, NC 27012
Forsyth County (336) 895-1293

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 Rss/Clemmons Operations, LLC's NPI number?

The NPI number for Rss/Clemmons Operations, LLC is 1932855400. It was assigned to this organization in the NPPES registry on February 23, 2022. The provider is doing business as Mallard Ridge Assisted Living.

Where is Rss/Clemmons Operations, LLC located?

Rss/Clemmons Operations, LLC is located at 9420 N Nc Hwy 150, Clemmons, NC 27012. The listed phone number is (336) 895-1293.

What is Rss/Clemmons Operations, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Rss/Clemmons Operations, LLC was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.