Organization · Type 2 NPI

JFC Meridian Opco Winston Salem, LLC

Adult Care Home Facility · Winston Salem, NC

NPI number 1902280035 Active

Practice location

1635 E 5th St
Winston Salem, NC 27101-3312

Call (336) 722-7119 Map

Fax (336) 837-0212

Mailing address

PO Box 2568
Hickory, NC 28603-2568

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	HAL-034-100 (NC)
Adult Care Home Facility Primary	311ZA0620X	None listed
Non-emergency Medical Transport (VAN)	343900000X	None listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2 other providers at this address

Other adult care home facility providers in Winston Salem

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NPI record

NPI: 1902280035
Entity type: Organization (Type 2)
Issued: Jul 18, 2015
Last updated: Nov 2, 2021
Status: Active

Other names

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Somerset Court at University Place · doing business as
Somerset Court at University Place · doing business as

Authorized official

Charles E Trefzger
Manager
(828) 322-5535

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902280035

JFC Meridian Opco Winston Salem, LLC's National Provider Identifier is 1902280035, issued on Jul 18, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 2, 2021.