Cedar Rock Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL 030 006 Issued in NC

Legal business name

CEDAR ROCK ASSISTED LIVING, LLC

Practice address

191 Crestview Dr
Mocksville, NC 27028-2643

Phone

(336) 751-1515

NPI assigned

Mar 9, 2007

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald B Dodson

Title

President

Phone

(336) 416-7149

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1023140803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9790",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288150790",
            "telephone_number": "336-416-7149",
            "fax_number": "336-751-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CRESTVIEW DR",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282643",
            "telephone_number": "336-751-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR ROCK ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-416-7149"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 030 006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804349",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carnaggio and Piper DMD Ms PA (Piedmont Dental Associates Mocksville)
• Carolina Health & Day Services
• Carolina Neurology East
• Teresa Kay Carter, LCSWA
• Kelli Nichols Case, FNP-C
• Cedar Rock of Mocksville, LLC (Dba Cedar Rock Assisted Living)
• Melissa Renee Champe - Seagle, M.D.
• Chelsea Grace Strange Chapman, MA, SSP, NCSP
• David A Chester, PA-C
• Anna Seaford Coe

• Assisted Living Facility in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.