Emerywood Supervised Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EMERYWOOD SUPERVISED LIVING LLC

Practice address

701 Arbordale Ave
High Point, NC 27262-4621

Phone

(336) 781-9711

NPI assigned

Aug 8, 2025

Last updated

Aug 8, 2025By 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

Ana FalconNPI 1588549067

Title

Owner

Phone

(336) 781-9711

Specialties & licenses 2

Addresses

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.

• Ana Falcon

  • Day Training/Habilitation Specialist
  • High Point, NC
  • NPI 1588549067
  NPD Authorized official

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1962387928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ARBORDALE AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624621",
            "telephone_number": "336-781-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ARBORDALE AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624621",
            "telephone_number": "336-781-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERYWOOD SUPERVISED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-781-9711"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla J Ellis, DMD
• Gregory Carl Ellis, MD
• Adrienne Ellison, MA-CCC/SLP
• Laura Ashley Ellwanger, RN
• Elm Villa
• Emily Stainback LCSW
• Emma Jean Blackwell (Blackwell Cameo)
• Emmanuel Senior Enrichment Center
• John August Engelmann Jr., M.D.
• William Gary Engstrom, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in High Point, NC
• Providers in High Point, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.