Active NPI
Charlotte Operator LLC
Doing business as Charlotte Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CHARLOTTE OPERATOR LLC
- Doing business as
- Charlotte Health & Rehabilitation Center
- Practice address
- 1735 Toddville Rd
Charlotte, NC 28214-2436 - Phone
- (704) 394-4001
- 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
- Kevin Walsh
- Title
- Administrator
- Phone
- (704) 394-4001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1735 Toddville Rd
Charlotte, NC 28214-2436
Mailing address
1735 Toddville Rd
Charlotte, NC 28214-2436
Other names 1
- Charlotte Health & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210823002105 | NC | Part A Provider - Skilled Nursing Facility | 6709281157 | Practice locations: Charlotte, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194309336. Details of each certification follow.
Skilled nursing facility certification: CCN 345405
- Legal name
- CHARLOTTE OPERATOR LLC
- Doing business as
- CHARLOTTE HEALTH & REHABITLITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 10, 1991
- Last certification
- Oct 23, 2024
- Beds
- 90
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Mar 23, 2021 in NV
- Enrollment address
- 1735 Toddville Rd
Charlotte, NC 28214-2436 - Nursing home name
- CHARLOTTE HEALTH & REHABILITATION CENTER
- Affiliated entity
- LIFEWORKS REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Charlotte Health & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 10, 1991
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- Lifeworks Rehab
- Penalties (3 years)
- 5
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| John C Altschul | Corporate Director | Oct 26, 2023 | 100% |
| W-2 Managing Employee | Oct 26, 2023 | 100% | |
| 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% |
| 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% |
| Charlotte 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% |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| 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, Edward 1998 Family Grantor Trust, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, RL 20
-
dba Belaire Health Care Center
- Skilled Nursing Facility
- Gastonia, NC
- NPI 1316512346
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Edward 1998 Family Grantor Trust, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norma
-
dba Carolina Rehab Center of Burke
- Skilled Nursing Facility
- Connelly Springs, NC
- NPI 1144804485
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, Edward 1998 Family Grantor Trust, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norma
-
dba Guilford Health Care Center
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1033784970
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Edward 1998 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 LLC, RL 2008 Family Trust, Robin 2008 LLC, Rsbrm South Manag
-
dba Huntersville Health & Rehabilitation Center
- Skilled Nursing Facility
- Huntersville, NC
- NPI 1477137628
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Edward 1998 Family Grantor Trust, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norma
-
dba Lexington Health Care Center
- Skilled Nursing Facility
- Lexington, NC
- NPI 1083298236
Charles 1994 Family Grantor Trust, CK 2008 Family Trust, DRM South LLC, Edward 1998 Family Grantor Trust, Lauren 2020 Family Grantor Trust, Lauren 2020 LLC, Leps 2003 Family Trust, Norman 5571 & Family LLC, Norman 5571 Family Grantor Trust, Norma
-
dba Albermarle Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1003490277
Charles 1994 Family Grantor Trust, Edward 1998 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, Edward 1998 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, Edward 1998 Family Grantor Trust
-
dba Beaufont Health & Rehabilitation Center
- Skilled Nursing Facility
- Richmond, VA
- NPI 1508440785
Charles 1994 Family Grantor Trust, Edward 1998 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, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
Practitioners & affiliated clinicians
Practitioners 2
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
- Charlotte, NC
- NPI 1689703829
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1992778906
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1578829313
Nursing home
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": "1194309336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 TODDVILLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282142436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 TODDVILLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282142436",
"telephone_number": "704-394-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE 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": "WALSH",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-394-4001"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Charlotte Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charlotte, NC
- Charlotte Obstetric and Gynecological Associates (Atrium Health Women's Care Charlotte OB/GYN)
- Charlotte One More Go Physical Therapy & Wellness LLC
- Charlotte One on One Physical Therapy
- Charlotte Opco Holdings, LLC (East Towne)
- Charlotte Operating Al, LLC (The Parc at Sharon Amity)
- Charlotte Optometric Clinic, PA
- Charlotte Optometry Center, O.D., PLLC
- Charlotte Optometry Group PA
- Charlotte Optometry Group PA
- Charlotte Orthodontics
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.