Cedar Rock of Mocksville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CEDAR ROCK OF MOCKSVILLE, LLC

Doing business as

Dba Cedar Rock Assisted Living

Practice address

191 Crestview Dr
Mocksville, NC 27028-2643

Phone

(336) 751-1515

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By 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

Mr. William R Hammonds

Title

General Partner

Phone

(336) 595-6004

Specialties & licenses 1

Addresses

Other names 1

• DBA CEDAR ROCK ASSISTED LIVING Doing business as

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1902087760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1487",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272851487",
            "telephone_number": "336-595-1075"
        },
        {
            "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 OF MOCKSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "HAMMONDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "336-595-6004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA CEDAR ROCK ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Health & Day Services
• Carolina Neurology East
• Teresa Kay Carter, LCSWA
• Kelli Nichols Case, FNP-C
• Cedar Rock Assisted Living, LLC
• Melissa Renee Champe - Seagle, M.D.
• Chelsea Grace Strange Chapman, MA, SSP, NCSP
• David A Chester, PA-C
• Anna Seaford Coe
• Emily Draughn Collette, FNP

• 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 Nov 21, 2007; 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.