Arclp-Charlotte, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0574 Issued in NC

Legal business name

ARCLP-CHARLOTTE, LLC

Practice address

5800 Old Providence Rd
Charlotte, NC 28226-6872

Phone

(704) 365-8551

Fax

(704) 366-4270

NPI assigned

May 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 2

Addresses

Other names 1

• Brookdale Carriage Club Providence Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345482

Legal name

ARCLP-CHARLOTTE LLC

Doing business as

BROOKDALE CARRIAGE CLUB PROVIDENCE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Apr 3, 1997

Last certification

Apr 7, 2025

Beds

44 (14 certified)

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

5800 Old Providence Rd
Charlotte, NC 28226-6872

Nursing home name

BROOKDALE CARRIAGE CLUB PROVIDENCE

Affiliated entity

BROOKDALE SENIOR LIVING

Listed as

Brookdale Carriage Club ProvidenceCCN 345482

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

For profit - Corporation

Certified

Apr 3, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

147.9 residents per day on average

Chain

Brookdale Senior Living12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Networks

• SC HMO

All disclosed owners & managing parties 70

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• George D Hall, MD

  • Family Medicine Physician
  • Concord, NC
  • NPI 1518149277

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Arc Westlake Village SNF LLC

  • Skilled Nursing Facility
  • Westlake, OH
  • NPI 1083864854

  BKD FM Holding Company LLC

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• George D Hall, MD

  • Family Medicine Physician
  • Concord, NC
  • NPI 1518149277

  Nursing home

  Care Compare affiliation
• Min-Ji Lee, M.D.

  • Family Medicine Physician
  • Chapel Hill, NC
  • NPI 1295154300

  Nursing home

  Care Compare affiliation
• Catherine L Ferrara, DO

  • Family Medicine Physician
  • Massapequa, NY
  • NPI 1386750206

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1013967231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OLD PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266872",
            "telephone_number": "704-365-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OLD PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266872",
            "telephone_number": "704-365-8551",
            "fax_number": "704-366-4270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Old Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282266912",
            "country_code": "US",
            "telephone_number": "704-365-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCLP-CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Carriage Club Providence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Carriage Club Providence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.