NPIMap

Organization Active NPI

Laurel Health Care Company of Chatham North Carolina, Inc

Doing business as The Laurels of Chatham

  • Skilled Nursing Facility
  • Pittsboro, NC
National Provider Identifier
1215982525
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0523 Issued in NC
Legal business name
LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC
Doing business as
The Laurels of Chatham
Practice address
72 Chatham Business Dr
Pittsboro, NC 27312-5687
Phone
(919) 542-6677
Fax
(919) 542-1803
NPI assigned
May 24, 2006
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Anis Khan
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0523 NC
Skilled Nursing Facility 314000000X NH0523 NC Primary

Addresses

Primary practice location

72 Chatham Business Dr
Pittsboro, NC 27312-5687

Mailing address

8181 Worthington Rd
Westerville, OH 43082-8067
Phone (614) 794-8800

Other identifiers 4

IdentifierTypeStateIssuer
NH0523OtherNCNURSING HOME LICENSE #
0099MOtherNCBLUE CROSS BLUE SHIELD #
3415421MedicaidNC
341601JMedicaidNC

Other names 1

  • THE LAURELS OF CHATHAM Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000401 NC Part A Provider - Skilled Nursing Facility 7012821614 Practice locations: Pittsboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215982525. Details of each certification follow.

Skilled nursing facility certification: CCN 345421

Legal name
LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC
Doing business as
THE LAURELS OF CHATHAM
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 28, 1992
Last certification
Apr 17, 2024
Beds
140
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare
Organization structure
CorporationProprietary
Incorporated
Mar 11, 1992 in NC
Enrollment address
72 Chatham Business Park
Pittsboro, NC 27312-9726
Nursing home name
THE LAURELS OF CHATHAM
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of ChathamCCN 345421 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 28, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140122.8 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
1Fines totaling $10,527

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
David Stobb Individual Corporate OfficerSecretary Feb 1, 2016 100%
Adp of the SNF Feb 1, 2016
Anis Khan Individual Corporate OfficerTreasurer Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Organization, Glenview, IL LLC, For-profit Adp of the SNF Apr 1, 2025
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Organization, Taylor, MI LLC, For-profit Adp of the SNF Apr 1, 2025
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2016 100%
Corporate OfficerPresident Feb 1, 2016 100%
Corporate DirectorPresident Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 2016
Adp of the SNF Apr 1, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
John Jarrell Individual Operational/Managerial Control Dec 3, 2007
Adp of the SNF Dec 3, 2007
Leann R Simpson Tarokh Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 67

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

View all 67

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1215982525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 WORTHINGTON RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828067",
            "telephone_number": "614-794-8800",
            "fax_number": "614-794-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CHATHAM BUSINESS DR",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125687",
            "telephone_number": "919-542-6677",
            "fax_number": "919-542-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0523",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE #",
            "identifier": "NH0523",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "0099M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415421",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341601J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF CHATHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.