Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clemmons Village I LLC

Organization Assisted Living Facility · NPI 1013008234

Clemmons Village I LLC is an Assisted Living Facility in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6401 Holder Rd
Clemmons, NC 27012-9207
Phone: (336) 766-2990
Fax: (336) 766-2138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence HAL-034-090 (NC)

Record details

NPI number1013008234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Hadley — Coo · (843) 296-3985
Other names Clemmons Village I
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address6401 Holder Rd, Clemmons, NC 27012-9207

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