ELMS AT TANGLEWOOD
NPI 1962648543
Assisted Living Facility in Clemmons, NC

Q: What is Lsa Elms At Tanglewood, Inc.'s NPI number?

The NPI number for Lsa Elms At Tanglewood, Inc. is 1962648543. It was assigned to this organization in the NPPES registry on January 2, 2009. The provider is doing business as Elms At Tanglewood.

Q: What is Lsa Elms At Tanglewood, Inc.'s specialty?

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

Active since January 02, 2009

3750 HARPER RD, CLEMMONS, NC 27012(336) 766-2131(336) 766-2160 Get Directions Write a Review

NPPES record last updated: January 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elms At Tanglewood NPPES

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

ELMS AT TANGLEWOOD (NPI 1962648543) is a healthcare organization registered as an assisted living facility in Clemmons, North Carolina and active in the NPI registry since January 2009. The organization lists Deborah Ann Mathis, Coo, as its authorized official.

NPPES Registry Identity

NPI1962648543

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLSA ELMS AT TANGLEWOOD, INC.

Location Address3750 HARPER RDClemmons, NC 27012-8682

Mailing Address3750 Harper RdClemmons, NC 27012-8682 · (336) 766-2131 · Fax (336) 766-2160

Phone(336) 766-2131

Fax(336) 766-2160

Organization SubpartYesParent: Lutheran Services For The Aging

Authorized OfficialDeborah Ann MathisCoo · (704) 637-2870

Enumeration DateJanuary 2, 2009

✔ NPI 1962648543 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 · HAL034085

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 HAL034085 (NC)

3750 HARPER RD, Clemmons, NC 27012

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Other Names 1

Doing Business AsElms At Tanglewood

Other Providers at the Same Location NPPES

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

ELMS AT TANGLEWOOD, LLC

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 Lsa Elms At Tanglewood, Inc.'s NPI number?

The NPI number for Lsa Elms At Tanglewood, Inc. is 1962648543. It was assigned to this organization in the NPPES registry on January 2, 2009. The provider is doing business as Elms At Tanglewood.

Where is Lsa Elms At Tanglewood, Inc. located?

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

What is Lsa Elms At Tanglewood, Inc.'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 Lsa Elms At Tanglewood, Inc. was last updated on January 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.