Mallard Ridge LLC
NPI 1861523896 · Assisted Living Facility · Kernersville, NC
Mallard Ridge LLC is a Assisted Living Facility organization in Kernersville, NC (NPI 1861523896).
Provider details
- NPI number
- 1861523896
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tracy Hennessee, Executive Director(336) 775-2205
- License
- HAL 029 007 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mallard Ridge LLC's NPI number?
- Mallard Ridge LLC's National Provider Identifier (NPI) is 1861523896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mallard Ridge LLC?
- Mallard Ridge LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Mallard Ridge LLC located?
- Mallard Ridge LLC's practice location on file with NPPES is 851 Old Winston Rd, Kernersville, NC 27284-8780.
- What is Mallard Ridge LLC's phone number?
- The practice phone number listed in the NPPES registry for Mallard Ridge LLC is (336) 993-7555.
- Who is the authorized official for Mallard Ridge LLC?
- The authorized official listed on Mallard Ridge LLC's NPPES record is Tracy Hennessee, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mallard Ridge LLC's NPI active?
- Yes — Mallard Ridge LLC's NPI (1861523896) is active in the NPPES registry as of the last update on 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.