Organization Active NPI

Alamance Operator LLC

  • Skilled Nursing Facility
  • Burlington, NC
National Provider Identifier
1114501442
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALAMANCE OPERATOR LLC
Practice address
1987 Hilton Rd
Burlington, NC 27217-2968
Phone
(336) 226-0848
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Jonathan Caudill
Title
Administrator
Phone
(336) 226-0848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1987 Hilton Rd
Burlington, NC 27217-2968

Mailing address

1987 Hilton Rd
Burlington, NC 27217-2968

Other names 1

  • Alamance Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012003491 NC Part A Provider - Skilled Nursing Facility 7113325713 Practice locations: Burlington, NC

Skilled nursing facility certification: CCN 345420

Legal name
ALAMANCE OPERATOR LLC
Doing business as
ALAMANCE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 23, 1992
Last certification
May 1, 2025
Beds
180
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
1987 Hilton Rd
Burlington, NC 27217-2968
Nursing home name
ALAMANCE HEALTH CARE CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alamance Health Care CenterCCN 345420
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 23, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180174.9 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $8,034

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Lauren 2020 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Springrock South LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 75%
Norman 5571 & Family LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Alamance Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest May 28, 2021 100%
RL 2008 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Charles 1994 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Lauren 2020 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Rsbrm South Manager LLC Organization, Lakewood, NJ LLC Operational/Managerial Control May 28, 2021 100%
Norman 5571 Family Grantor Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Saul 2012 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Leps 2003 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
DRM South LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 25%
Robin 2008 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
CK 2008 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 5%
Edward 1998 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Howard Carlton Staples Individual W-2 Managing Employee Sep 13, 2023 100%
Robin 2008 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Summer South LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 100%

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1114501442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 HILTON RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 HILTON RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172968",
            "telephone_number": "336-226-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMANCE OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-226-0848"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamance Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.