Gahc3 Clemmons Nc Trs Sub, LLC
NPI 1285285601ActiveOrganization· Custodial Care Facility· Clemmons, NC
Custodial Care Facility in Clemmons, North Carolina, registered in NPPES in September 2019. The authorized official on file is Danny Prosky, President.
Overview
| NPI | 1285285601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2019 |
| Last updated in NPPES | Oct 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | — |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Custodial Care Facility providers in Clemmons
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