CHARLOTTE SP SENIOR HOUSING OPCO, LLC – NPI #1124645544
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.

CHARLOTTE SP SENIOR HOUSING OPCO, LLC is a skilled nursing facility (SNF) located in CHARLOTTE, NC. NPPES has assigned the NPI number 1124645544 to CHARLOTTE SP SENIOR HOUSING OPCO, LLC on July 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLOTTE SP SENIOR HOUSING OPCO, LLC below.

NPI Profile for
CHARLOTTE SP SENIOR HOUSING OPCO, LLC

NPI Number
1124645544
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLOTTE SP SENIOR HOUSING OPCO, LLC
Primary location
6041 PIEDMONT ROW DRIVE
CHARLOTTE, NC 28208
Phone: (980) 224-8540 Fax:
Mailing address
44 MCNEILL PLZ
WHITEVILLE, NC 28472-8602
Phone: (910) 642-0224 Fax: (910) 642-8537
Organization Subpart
No
Authorized Official
JOSEPH CALCUTT
CFO
Phone: (910) 815-3122
Updated
Certification Date
Jul 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
311ZA0620X
- Custodial Care Facility / Adult Care Home

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.