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

Mallard Ridge LLC

Organization Assisted Living Facility · NPI 1861523896

Mallard Ridge LLC is an Assisted Living Facility in Kernersville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

851 Old Winston Rd
Kernersville, NC 27284-8780
Phone: (336) 993-7555
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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 029 007 (NC)

Record details

NPI number1861523896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Hennessee — Executive Director · (336) 775-2205
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address851 Old Winston Rd, Kernersville, NC 27284-8780

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