OrganizationActive
Latrells Enterprise
NPI 1376671024 · Assisted Living Facility · Elon, NC
Provider details
- NPI number
- 1376671024
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Deborah Minor, Manager(336) 421-9665
- License
- HAL-017-001 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3782 Cherry Grove Rd
Elon, NC 27244-9484
Phone: (336) 421-9488
Fax: (336) 421-5862
Street-level locationGet directions
Mailing address
Po Box 778
Yanceyville, NC 27379-0778
Other names (DBA / former)
- Doing business as
- Blackwell'S Rest Home
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.