THE PRESBYTERIAN HOSPITAL (NPI# 1891871901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891871901 |
| Entity Type | Organization |
| Organization Name | THE PRESBYTERIAN HOSPITAL |
| Other Organization Name | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER - SKILLED NURSING UNIT |
| Practice Address |
200 Hawthorne Lane Charlotte NC 28204-1101 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston Salem NC 27103-5614 |
| Practice Telephone | 7043844000 |
| Mailing Telephone | (336) 277-7226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2017-09-05 |
| Authorized Official Name | MR. FREDERICK MCDOWELL HARGETT JR. (EVP/CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE PRESBYTERIAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Novant Health Presbyterian Medical Center - Skilled Nursing Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1174989479 | The Presbyterian Hospital | Internal Medicine | 14135 Ballantyne Corporate Pl Ste 200&160, Charlotte, NC 28277-3383 | 2016-01-04 |
| Street Address |
200 HAWTHORNE LANE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116777 | Ruby J Hess | Nurse Anesthetist, Certified Registered | 200 Hawthorne Lane, Charlotte, NC 28204 | 2005-07-07 |
| 1578000774 | Lindsey R. Lane | Nurse Anesthetist, Certified Registered | 200 Hawthorne Lane, Presbyterian Medical Center, Charlotte, NC 28204-4697 | 2017-01-25 |
| 1386987444 | Dayna Leigh Slomba | Lactation Consultant, Non-RN | 200 Hawthorne Lane, Charlotte, NC 28204-2515 | 2013-03-27 |
| 1558616904 | Margaret Countiss Harbison | Counselor | 200 Hawthorne Lane, Charlotte, NC 28204-2515 | 2012-07-20 |
| 1184923682 | The Presbyterian Hospital | General Acute Care Hospital | 200 Hawthorne Lane, Charlotte, NC 28233-3549 | 2011-03-23 |
| 1316170905 | Leah Harris Michelow | Registered Nurse | 200 Hawthorne Lane, Charlotte, NC 28204 | 2009-08-28 |
| 1306097936 | Cassie Steck | Physician Assistant | 200 Hawthorne Lane, Charlotte, NC 28204-2515 | 2008-10-01 |
| 1568646701 | Ppg Pathology and Diagnostics, LLC | Clinical Medical Laboratory | 200 Hawthorne Lane, Presbyterian Pathology Group, Charlotte, NC 28204 | 2007-12-24 |
| 1497975593 | Grace O. Buttriss | Nurse Practitioner | 200 Hawthorne Lane, Charlotte, NC 28204 | 2007-04-30 |
| 1689894784 | Jesus A. Hernandez | Nurse Practitioner | 200 Hawthorne Lane, Charlotte, NC 28204 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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.