NPIMap

Organization Active NPI

Clemmons Road Operating Company, LLC

Doing business as Cedar Hills Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Clemmons, NC
National Provider Identifier
1477326635
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLEMMONS ROAD OPERATING COMPANY, LLC
Doing business as
Cedar Hills Center for Nursing and Rehabilitation
Practice address
3905 Clemmons Rd
Clemmons, NC 27012-8479
Phone
(336) 766-9158
NPI assigned
Oct 31, 2023
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Yosef Emanuel
Title
Member
Phone
(917) 745-7945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3905 Clemmons Rd
Clemmons, NC 27012-8479

Mailing address

3905 Clemmons Rd
Clemmons, NC 27012-8479
Phone (336) 766-9158

Other names 1

  • Cedar Hills Center for Nursing and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205000406 NC Part A Provider - Skilled Nursing Facility 1355877085 Practice locations: Clemmons, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477326635. Details of each certification follow.

Skilled nursing facility certification: CCN 345131

Legal name
CLEMMONS ROAD OPERATING COMPANY, LLC
Doing business as
CEDAR HILLS CENTER FOR NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1974
Last certification
Nov 8, 2024
Beds
120 (94 certified)
Ownership / control type
Corporation
Multi-facility organization
Alliance Health Group
Organization structure
LLCProprietary
Incorporated
Oct 18, 2023 in NC
Enrollment address
3905 Clemmons Rd
Clemmons, NC 27012-8479
Nursing home name
CEDAR HILLS CENTER FOR NURSING AND REHABILITATION
Affiliated entity
ALLIANCE HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cedar Hills Center for Nursing and RehabilitationCCN 345131 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9484.3 residents per day on average
Chain
Alliance Health Group12 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $11,333

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0237025Clemmons Road Operating Company, LLC3905 Clemmons Rd, Clemmons, NC 27012Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alignment Holdco LLC Organization, Greensboro, NC Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Kristin N Stover Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Coalition Group LLC Organization, Lawrence, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Yosef Emanuel Individual 5% Or Greater Indirect Ownership InterestCeo Aug 1, 2024 100%
Corporate OfficerCeo Aug 1, 2024

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1477326635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128479",
            "telephone_number": "336-766-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128479",
            "telephone_number": "336-766-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMMONS ROAD OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-745-7945"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hills Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.