Organization Active NPI

DLP Maria Parham Medical Center LLC

Doing business as Maria Parham Medical Center

  • Rehabilitation Hospital Unit
  • Henderson, NC
National Provider Identifier
1093099582
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
DLP MARIA PARHAM MEDICAL CENTER LLC
Doing business as
Maria Parham Medical Center
Practice address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone
(252) 438-4143
NPI assigned
Oct 3, 2011
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NC Primary

Addresses

Primary practice location

566 Ruin Creek Rd
Henderson, NC 27536-2927

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000

Other names 1

  • Maria Parham Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariaparham@mariaparham.medallies.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000138 NC Part A Provider - Hospital 3870750193 Practice locations: Henderson, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093099582. Details of each certification follow.

Hospital certification: CCN 34T132

Legal name
DLP MARIA PARHAM MEDICAL CENTER, LLC
Doing business as
MARIA PARHAM HEALTH
Organization structure
LLCProprietary
Incorporated
Jun 20, 2011 in DE
Enrollment address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Maria Parham Healthcare Association IncCCN 34T132 · All quality measures
Ownership
For profit
Certified
Oct 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
DLP Maria Parham Medical Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2014 77.6%
Ruth Jones Individual OtherMember of Board of Governors Jan 29, 2019
David Carver Individual OtherMember of Board of Governors Nov 1, 2011
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 77.6%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2014 77.6%
Elmer B Polite Individual Corporate OfficerPresident Jun 1, 2023
OtherGovernor Dec 14, 2020
DLP Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2011 80%
Bertrand Bramlet Beard Individual Contracted Managing EmployeeCeo Aug 22, 2016
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2014 77.6%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 77.6%
Donna Peter Individual OtherBoard of Governors Apr 21, 2023
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 16, 2018
Henderson/Vance Healthcare, Inc. Organization, Henderson, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2011 20%
Woody Caudle Individual OtherMember of Board of Governors Jan 1, 2021
Charlotte E Lawrence Individual Corporate OfficerSecretary Mar 10, 2022
DLP Partner LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2011 77.6%
Wilton Drake Individual OtherMember of Board of Governors Oct 19, 2017
Teresa Williams Individual Corporate DirectorBoard Member May 31, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Nov 1, 2016
Christopher J Monte Individual Corporate OfficerVice President Nov 1, 2011
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2011 77.6%
Michael Brafford Individual OtherMember of Board of Governors Oct 1, 2019
Robert F Noel Individual OtherMember of Board of Governors Nov 1, 2011

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maria Parham Women's CareHenderson, NC, CCN 348991 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Maria Parham Women's CareOxford, NC, CCN 348992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Maria Parham Franklin Primary & Women's CareLouisburg, NC, CCN 348989 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Maria Parham Primary CareHenderson, NC, CCN 348990 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 202

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

View all 202

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1093099582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "252-438-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP MARIA PARHAM MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariaparham@mariaparham.medallies.net",
            "affiliation": "N",
            "address_1": "566 Ruin Creek Rd",
            "city": "Henderson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275362927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maria Parham Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maria Parham Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.