Organization Active NPI

Charlotte SP Senior Housing Opco, LLC

  • Skilled Nursing Facility
  • Charlotte, NC
National Provider Identifier
1124645544
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHARLOTTE SP SENIOR HOUSING OPCO, LLC
Practice address
6041 Piedmont Row Drive
Charlotte, NC 28208
Phone
(980) 224-8540
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Joseph V Calcutt
Title
Cfo
Phone
(910) 815-3122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6041 Piedmont Row Drive
Charlotte, NC 28208

Mailing address

44 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 642-0224

Other names 1

  • BRIAR CREEK HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205000801 NC Part A Provider - Skilled Nursing Facility 0648684456 Practice locations: Charlotte, NC

Skilled nursing facility certification: CCN 345578

Legal name
CHARLOTTE SP SENIOR HOUSING OPCO LLC
Doing business as
BRIAR CREEK HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 19, 2021
Last certification
May 6, 2025
Beds
136 (6 certified)
Ownership / control type
Corporation
Organization structure
Not SelectedProprietary
Enrollment address
6041 Piedmont Row Dr S
Charlotte, NC 28210-4967
Nursing home name
BRIAR CREEK HEALTH CENTER
Affiliated entity
LIBERTY SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Briar Creek Health CenterCCN 345578
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Apr 19, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
64.6 residents per day on average
Chain
Liberty Senior Living37 facilities in the chain
Penalties (3 years)
1Fines totaling $8,606

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2207908Briar Creek Health Center6041 Piedmont Row Dr South, Charlotte, NC 28210Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory

Locations

6041 Piedmont Row Dr S
Charlotte, NC 28210
Phone (704) 900-8539

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Karep V Senior Housing Reoc JV LLC Organization, Boca Raton, FL LLC Other Jul 24, 2018 100%
Barclay Developers Southpark, LLC Organization, Wilmington, NC LLC Other Jul 24, 2018 11%
Liberty Real Properties VI LLC Organization, Wilmington, NC LLC Other Jul 24, 2018 100%
Karep V SL Reit, LLC Organization, Los Angeles, CA LLC Other Jul 24, 2018 89.1%
Albert Rabil Individual Corporate OfficerPresident Nov 1, 2020
John Wain Individual Corporate OfficerVice-President Treasurer Nov 1, 2020
Jeffrey S. Wilson Individual Operational/Managerial ControlCoo Nov 1, 2020
Kayne Anderson Real Estate Partners V LP (Karep V) Organization, Los Angeles, CA Other Jul 24, 2018 100%
Senior Housing Intervening Company V LLC Organization, Boca Raton, FL LLC Other Jul 24, 2018 78%
Russell Reiter Individual Corporate OfficerSecretary Nov 1, 2020
Joseph V Calcutt Individual Operational/Managerial ControlCfo Nov 1, 2020
Angela Carney Individual Operational/Managerial ControlAdministrator Nov 1, 2020
David Sydney Selznick Individual Corporate OfficerVice-President Nov 1, 2020
Penny T. Purifoy Individual Operational/Managerial ControlAr Director Nov 1, 2020
Kayne Anderson Real Estate Partners V Parallel Fund LP Organization, Los Angeles, CA Other Jul 24, 2018 100%
Karep V Parallel SL Reit LLC Organization, Los Angeles, CA LLC Other Jul 24, 2018 10.9%
Charlotte SP Senior Housing JV Opco, LLC Organization, Boca Raton, FL Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 24, 2018 100%
Operational/Managerial Control Jul 24, 2018 100%

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": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1124645544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-642-0224",
            "fax_number": "910-642-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 PIEDMONT ROW DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "980-224-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE SP SENIOR HOUSING OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIAR CREEK HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.