JFC Meridian Opco-Mocksville

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

JFC MERIDIAN OPCO-MOCKSVILLE

Doing business as

Somerset Court of Mocksville

Practice address

150 Ken Dwiggins Dr
Mocksville, NC 27028-2439

Phone

(336) 751-1209

Fax

(336) 751-0602

NPI assigned

Jul 18, 2015

Last updated

Oct 26, 2021By 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

Charles E Trefzger

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 3

Addresses

Other names 1

• SOMERSET COURT OF MOCKSVILLE Doing business as

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1649654773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28603",
            "telephone_number": "828-322-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KEN DWIGGINS DR",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282439",
            "telephone_number": "336-751-1209",
            "fax_number": "336-751-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFC MERIDIAN OPCO-MOCKSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-030-008",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMERSET COURT OF MOCKSVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOMERSET COURT OF MOCKSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Impact of the Piedmont, Inc.
• Christopher R. Ioan, DDS
• Iredell Physician Network LLC (Family Care Center of Mocksville)
• Mandi Irwin, RD, LDN
• Jason a. Caputo, D.D.S., P.a. (Mocksville Family Dentistry)
• Gregory Terence Johnson, LCSW
• Brittany Jones
• Sharon Jones
• Joshua's House
• Elizabeth Karels, M.A. CCC-SLP

• Adult Care Home Facility in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.