# CLEMMONS ROAD OPERATING COMPANY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Hills Center for Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477326635
- **Authorized official:** YOSEF EMANUEL (MEMBER)
- **Authorized official phone:** (917) 745-7945

## Contact information

- **Practice address:** 3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
- **Practice address phone:** (336) 766-9158
- **Mailing address:** 3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
- **Mailing address phone:** (336) 766-9158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 10/31/2023