Active NPI
Carolina Burke Operator LLC
Doing business as Carolina Rehab Center of Burke
- Skilled Nursing Facility
- Connelly Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CAROLINA BURKE OPERATOR LLC
- Doing business as
- Carolina Rehab Center of Burke
- Practice address
- 3647 Miller Bridge Rd
Connelly Springs, NC 28612-7347 - Phone
- (828) 379-3144
- NPI assigned
- May 12, 2021
- Last updated
- May 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Rader
- Title
- Administrator
- Phone
- (828) 379-3144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
3647 Miller Bridge Rd
Connelly Springs, NC 28612-7347
Mailing address
3647 Miller Bridge Rd
Connelly Springs, NC 28612-7347
Other names 1
- Carolina Rehab Center of Burke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210823003343 | NC | Part A Provider - Skilled Nursing Facility | 0244635621 | Practice locations: Connelly Springs, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144804485. Details of each certification follow.
Skilled nursing facility certification: CCN 345526
- Legal name
- CAROLINA BURKE OPERATOR LLC
- Doing business as
- CAROLINA REHAB CENTER OF BURKE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 25, 2003
- Last certification
- Aug 1, 2024
- Beds
- 90
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medical Facilities of America
- Organization structure
- LLC
- Incorporated
- Mar 23, 2021 in NV
- Enrollment address
- 3647 Miller Bridge Rd
Connelly Springs, NC 28612-7347 - Nursing home name
- CAROLINA REHAB CENTER OF BURKE
- Affiliated entity
- LIFEWORKS REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Carolina Rehab Center of Burke
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 25, 2003
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- Lifeworks Rehab
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lauren 2020 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Springrock South LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 75% |
| Heather McGroarty | Corporate Director | Dec 11, 2023 | 100% |
| W-2 Managing Employee | Dec 11, 2023 | ||
| Norman 5571 & Family LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| RL 2008 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Lauren 2020 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Rsbrm South Manager LLC | Operational/Managerial Control | May 28, 2021 | 100% |
| Norman 5571 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Norman 5571 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.49% |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Leps 2003 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Carolina Burke Holdings I LLC | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 100% |
| DRM South LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 25% |
| Robin 2008 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| CK 2008 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 5% |
| Robin 2008 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Summer South 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.
-
dba Alamance Health Care Center
- Skilled Nursing Facility
- Burlington, NC
- NPI 1114501442
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, RL 2008 Family Trust, Robin 2008 Family
-
dba Belaire Health Care Center
- Skilled Nursing Facility
- Gastonia, NC
- NPI 1316512346
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norman 5571 LLC, RL 2008 Family Trust ·
-
dba Carolina Rehab Center of Cumberland
- Skilled Nursing Facility
- Fayetteville, NC
- NPI 1114501459
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norman 5571 LLC, RL 2008 Family Trust ·
-
dba Charlotte Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1194309336
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norman 5571 LLC, RL 2008 Family Trust ·
-
dba Guilford Health Care Center
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1033784970
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 LLC, RL 2008 Family Trust, Robin 2008 LLC, Rsbrm South Manager LLC, Saul 2012 Family Grantor T
-
dba Huntersville Health & Rehabilitation Center
- Skilled Nursing Facility
- Huntersville, NC
- NPI 1477137628
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norman 5571 LLC, RL 2008 Family Trust ·
-
dba Lexington Health Care Center
- Skilled Nursing Facility
- Lexington, NC
- NPI 1083298236
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norman 5571 LLC, RL 2008 Family Trust ·
-
dba Albermarle Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1003490277
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Appomattox Health & Rehabilitation Center
- Skilled Nursing Facility
- Appomattox, VA
- NPI 1639753809
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Bayside Health & Rehabilitation Center
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1528642790
Charles 1994 Family Grantor Trust
-
dba Beaufont Health & Rehabilitation Center
- Skilled Nursing Facility
- Richmond, VA
- NPI 1508440785
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Berkshire Health & Rehabilitation Center
- Skilled Nursing Facility
- Vinton, VA
- NPI 1861076044
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Asheville, NC
- NPI 1407969694
Affiliated clinicians 2
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": "1144804485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3647 MILLER BRIDGE RD",
"city": "CONNELLY SPRINGS",
"state": "NC",
"postal_code": "286127347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3647 MILLER BRIDGE RD",
"city": "CONNELLY SPRINGS",
"state": "NC",
"postal_code": "286127347",
"telephone_number": "828-379-3144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA BURKE 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": "RADER",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "828-379-3144"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Rehab Center of Burke",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Connelly Springs, NC
- Blue Ridge Medical Group, Inc (Gastroenterology Specialists, PA)
- Randall Josiah Bosley
- Dana Nicole Brown, D.O.
- Janet Cannon Byers
- Carnaggio and Piper DMD Ms PA (Piedmont Dental Associates)
- College Pines Rehabilitation and Skilled Nursing Center, LLC (College Pines Health and Rehabilitation)
- Cox Family Medicine
- Alex Thomas Craig, PT DPT
- Find a Way Counseling Services, PLLC
- Danielle Marie Fontaine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.