NPIMap

Organization Active NPI

The Cedars of Chapel Hill Club, Inc

  • Skilled Nursing Facility
  • Chapel Hill, NC
National Provider Identifier
1225019359
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0615 Issued in NC
Legal business name
THE CEDARS OF CHAPEL HILL CLUB, INC
Practice address
101 Green Cedar LN
Chapel Hill, NC 27517
Phone
(919) 259-7903
Fax
(919) 259-7943
NPI assigned
Nov 7, 2005
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Robert E Woodruff
Title
President
Phone
(919) 259-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0615 NC Primary

Addresses

Primary practice location

101 Green Cedar LN
Chapel Hill, NC 27517

Mailing address

100 Cedar Club Cir
Chapel Hill, NC 27517-7809
Phone (919) 259-7000

Other names 1

  • The Cedars of Chapel Hill Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617001134 NC Part A Provider - Skilled Nursing Facility 8224012000 Practice locations: Chapel Hill, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225019359. Details of each certification follow.

Skilled nursing facility certification: CCN 345533

Legal name
THE CEDARS OF CHAPEL HILL CLUB INC
Doing business as
THE CEDARS OF CHAPEL HILL
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 29, 2005
Last certification
Apr 30, 2025
Beds
60 (12 certified)
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
101 Green Cedar LN
Chapel Hill, NC 27517-7222
Nursing home name
THE CEDARS OF CHAPEL HILL
Affiliated entity
LIFE CARE SERVICES

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Cedars of Chapel HillCCN 345533 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Quality measures
1 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Apr 29, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
129.5 residents per day on average
Chain
Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
The Cedars of Chapel Hill Club Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Perry Aycock Individual Corporate OfficerPresident Jul 1, 2024
Margaret Peery McLaughlin Individual Corporate DirectorBoard Member Oct 11, 2002
Linda Sanders Individual Corporate DirectorBoard Member Oct 1, 2024
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Feb 4, 2004
Adp of the SNF Apr 10, 2025
The Cedars of Chapel Hill LLC Organization, Chapel Hill, NC LLC Operational/Managerial Control Sep 10, 1999 100%
Adp of the SNF Apr 11, 2025
Jerry Van Sant Individual Corporate DirectorBoard Member Jan 1, 2024
Gavin D Locklear Individual Operational/Managerial Control Sep 22, 2021
Adp of the SNF Apr 11, 2025
Sara S Flynn Individual Operational/Managerial Control Jan 1, 2009
Jack Marvin McBride Individual Operational/Managerial Control May 1, 2013
Adp of the SNF Apr 11, 2025
Frederick Harold Black Individual Corporate DirectorBoard Member Feb 20, 2002

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 57

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

View all 57

Practitioners & affiliated clinicians

Practitioners 11

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.

Affiliated clinicians 7

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": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1225019359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CEDAR CLUB CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177809",
            "telephone_number": "919-259-7000",
            "fax_number": "919-259-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREEN CEDAR LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-259-7903",
            "fax_number": "919-259-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CEDARS OF CHAPEL HILL CLUB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-259-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cedars of Chapel Hill",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Cedars of Chapel Hill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.