Deerfield Ridge Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL 095 008 Issued in NC

Legal business name

DEERFIELD RIDGE ASSISTED LIVING

Practice address

851 Old Winston Rd Ste 107
Kernersville, NC 27284-8781

Phone

(336) 993-7555

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ken Quiring

Title

Executive Director

Phone

(336) 993-1881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679604607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 OLD WINSTON RD STE 107",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 OLD WINSTON RD STE 107",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848781",
            "telephone_number": "336-993-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD RIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUIRING",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-993-1881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 095 008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805332",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Snow Brenner Daws, M.D.
• Melissa A Day, PT
• Paris Dearmon
• Frances E. Dechurch, M.D.
• Patrick M Deegan, PHARMD
• Chris J Deholl, PHARMD, BCNP
• Toni Marie Demarco, CRNA
• Margaret Attayek Deming
• Edward Earl James Denner, DC
• Barry Denny

• Assisted Living Facility in Kernersville, NC
• Providers in Kernersville, 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 Aug 22, 2020; 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.