NPIMap

Organization Active NPI

Charlotte Health Holdings, LLC

Doing business as Willow Ridge Assisted Living

  • Adult Care Home Facility
  • Charlotte, NC
National Provider Identifier
1215244306
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CHARLOTTE HEALTH HOLDINGS, LLC
Doing business as
Willow Ridge Assisted Living
Practice address
2140 Milton Rd
Charlotte, NC 28215-3319
Phone
(704) 563-7650
Fax
(704) 535-6950
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Charles E Trefzger
Title
Manager
Phone
(828) 322-5535

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-060-111 NC
Adult Care Home Facility 311ZA0620X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

2140 Milton Rd
Charlotte, NC 28215-3319

Mailing address

PO Box 2568
Hickory, NC 28603-2568
Phone (828) 270-0651

Other names 1

  • Willow Ridge Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1215244306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-270-0651",
            "fax_number": "828-270-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MILTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153319",
            "telephone_number": "704-563-7650",
            "fax_number": "704-535-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-060-111",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Ridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Ridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.