THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI# 1942674775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674775 |
| Entity Type | Organization |
| Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | STANLY MANOR |
| Practice Address |
625 Bethany Road Albemarle NC 28001 |
| Mailing Address |
Po Box 602006 Charlotte NC 28260-2066 |
| Practice Telephone | 7049847344 |
| Mailing Telephone | 7045124380 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | GREG A GOMBAR (EXECUTIVE VICE PRESIDENT AND CHIEF) |
| Authorized Official Telephone | 7043552154 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0464 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Stanly Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1588978290 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 441 Mcalister Road, Suite 1100b, Lincolnton, NC 28092-0000 | 2010-08-05 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1326088139 | The Charlotte-mecklenburg Hospital Authority | General Acute Care Hospital | 433 Mcalister Drive, Lincolnton, NC 28092-4147 | 2006-06-08 |
| 1114564416 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 150 Winchester Ave, Monroe, NC 28110-3161 | 2019-12-05 |
| 1538637137 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 | 2018-11-13 |
| 1326514688 | The Charlotte-mecklenburg Hospital Authority | General Practice | 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 | 2018-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue, Suite 600, Charlotte, NC 28204 |
| Washington State Corporations | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 1000 Blythe Blvd, Charlotte, NC 28203 |
| Colorado Business Entities | The Charlotte-Mecklenburg Hospital Authority | C/o Office of General Counsel, 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Alabama Business Registrations | The Charlotte-Mecklenburg Hospital Authority | 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Virginia Business Entities | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue Suite 600, Charlotte, North Carolina 28204 |
| Street Address |
625 BETHANY ROAD |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| 1033478805 | Julie Lynn Callahan | Counselor | 120 Ludlow Street, Albemarle, NC 28001 | 2012-05-14 |
| Find all providers in zip 28001 | ||||
| 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 |
|---|---|---|---|---|
| 1932135381 | Forrest Oakes Healthcare LLC | Skilled Nursing Facility | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2006-06-25 |
| 1235175175 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2006-06-21 |
| 1396740635 | Stanly Manor Inc. | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2005-06-14 |
| 1215931977 | Lutheran Home- Albemarle, Inc. | Skilled Nursing Facility | 24724 Us Highway 52 S, Albemarle, NC 28001-8179 | 2005-06-10 |
| 1891346797 | Ahsnf, Inc | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2019-09-23 |
| 1518313097 | Rebecca L Hobbs | Skilled Nursing Facility | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2016-05-13 |
| 1497123285 | Whitney Payne | Skilled Nursing Facility | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2015-09-10 |
| 1831367416 | Stanly Manor | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2008-02-15 |
| 1700054384 | Stanly Manor | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2008-02-15 |
| 1518135193 | Stanly Manor | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2008-02-15 |
| Find all providers in ALBEMARLE | ||||
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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.