CHARLOTTE SP SENIOR HOUSING OPCO, LLC (NPI# 1124645544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124645544 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE SP SENIOR HOUSING OPCO, LLC |
| Practice Address |
6041 Piedmont Row Drive Charlotte NC 28208 |
| Mailing Address |
44 Mcneill Plz Whiteville NC 28472-8602 |
| Practice Telephone | 9802248540 |
| Mailing Telephone | 9106420224 |
| Mailing Fax Number | 9106428537 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | JOSEPH V CALCUTT (CFO) |
| Authorized Official Telephone | 9108153122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| BRIAR CREEK HEALTH CENTER | Doing Business As Name - Organization |
| Street Address |
6041 PIEDMONT ROW DRIVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| 1477898211 | Accident Recovery Center, P.C. | Chiropractor | 3120-d3 Wilkinson Blvd., Charlotte, NC 28208 | 2012-12-05 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1962832899 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 10011 Providence Rd W, Charlotte, NC 28277-1561 | 2013-11-13 |
| 1861651770 | Melynda Ann Jones | Skilled Nursing Facility | 8945 Camden Creek Ln, 302, Charlotte, NC 28273-4908 | 2008-06-05 |
| 1992998504 | Aldersgate United Methodist Retirement Community, Inc. | Skilled Nursing Facility | 3625 Willard Farrow Drive, Charlotte, NC 28215-3220 | 2007-08-27 |
| 1427248905 | Park Village Rehab and Health, Inc. | Skilled Nursing Facility | 3223 Central Ave, Charlotte, NC 28205-5520 | 2007-07-31 |
| 1366577355 | White Oak Manor Charlotte Inc | Skilled Nursing Facility | 4009 Craig Ave, Charlotte, NC 28211-2505 | 2007-02-22 |
| 1437171485 | Eaton County Health and Rehabilitation Services | Skilled Nursing Facility | 530 W Beech St, Charlotte, MI 48813 | 2006-07-25 |
| 1992738009 | Hcc - Healthcare of Charlotte, LLC | Skilled Nursing Facility | 333 Hawthorne Ln, Charlotte, NC 28204-2433 | 2006-07-09 |
| 1669408969 | Granite Falls Ltc, LLC | Skilled Nursing Facility | 9200 Glenwater Dr, Charlotte, NC 28262-8557 | 2006-06-25 |
| 1215979059 | Wilora Lake Healthcare LLC | Skilled Nursing Facility | 6001 Wilora Lake Rd, Charlotte, NC 28212-2833 | 2006-06-12 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.