KINGSWOOD RESERVE – NPI #1427778513
Custodial Care 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.

KINGSWOOD RESERVE is a custodial care facility located in CLAYTON, NC. NPPES has assigned the NPI number 1427778513 to KINGSWOOD RESERVE on August 30, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KINGSWOOD RESERVE” is a dba name, the actual legal business name for this organization is CLAYTON OPCO, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 311ZA0620X from the Health Care Provider Taxonomy code set, which is classified as Custodial Care Facility, specializing in Adult Care Home

The NPI profile was previously updated about 2 years ago on Jan 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KINGSWOOD RESERVE below.

NPI Profile for
CLAYTON OPCO, LLC

NPI Number
1427778513
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLAYTON OPCO, LLC
Doing Business As (dba): KINGSWOOD RESERVE
Primary location
263 MCKENZIE RIDGE DR
CLAYTON, NC 27527
Phone: (984) 257-9105 Fax:
Mailing address
PO BOX 2568
HICKORY, NC 28603-2568
Phone: (828) 322-5535 Fax:
Organization Subpart
No
Authorized Official
CHARLES TREFZGER
MANAGER
Phone: (828) 322-5535
Updated
Certification Date
Jan 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
311ZA0620X
- Custodial Care Facility / Adult Care Home (Primary)
343900000X
- Non-emergency Medical Transport (VAN)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.