NPIMap

Organization Active NPI

The Carrolton of Fayetteville, LLC

Doing business as The Carrolton of Fayetteville

  • Skilled Nursing Facility
  • Fayetteville, NC
National Provider Identifier
1225654098
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE CARROLTON OF FAYETTEVILLE, LLC
Doing business as
The Carrolton of Fayetteville
Practice address
2461 Legion Rd
Fayetteville, NC 28306-2997
Phone
(910) 424-9417
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Sonya Rozier
Title
Managing Director
Phone
(910) 474-4381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2461 Legion Rd
Fayetteville, NC 28306-2997

Mailing address

PO Box 8427
Rocky Mount, NC 27804-1427

Other names 1

  • The Carrolton of Fayetteville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201218001121 NC Part A Provider - Skilled Nursing Facility 8123430956 Practice locations: Fayetteville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225654098. Details of each certification follow.

Skilled nursing facility certification: CCN 345376

Legal name
THE CARROLTON OF FAYETTEVILLE, LLC
Doing business as
THE CARROLTON OF FAYETTEVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 13, 1991
Last certification
Jun 14, 2024
Beds
120
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Oct 1, 2020 in NC
Enrollment address
2461 Legion Rd
Fayetteville, NC 28306-2997
Nursing home name
THE CARROLTON OF FAYETTEVILLE
Affiliated entity
CARROLTON NURSING HOMES

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Carrolton of FayettevilleCCN 345376 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 13, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120117.3 residents per day on average
Chain
Carrolton Nursing Homes6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0974316Carrolton of Fayetteville, LLC Dba, the2461 Legion Road, Fayetteville, NC 28306Certificate of waiverJun 1, 2028

National Provider Directory

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
Sonya Rozier Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 1, 2020
Individual Adp of the SNF Oct 1, 2020
Rajesh K Khurana Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 1, 2020
Deborah Powell Figlewski Individual 5% Or Greater Direct Ownership Interest Oct 1, 2020 12.5%
Carrol Saunders Roberson Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 1, 2020
C. Saunders Roberson, Jr., As Trustee of the Judith Roberson Dixon Irr Organization, Rocky Mount, NC 5% Or Greater Direct Ownership Interest Oct 1, 2020 50%
Carrolton Facility Management, LLC Organization, Rocky Mount, NC Operational/Managerial Control Oct 1, 2020 100%
Adp of the SNF Jan 5, 2026
Denise Russell Individual 5% Or Greater Direct Ownership Interest Oct 1, 2020 12.5%
Earl Powell Individual 5% Or Greater Direct Ownership Interest Oct 1, 2020 12.5%
John Powell Individual 5% Or Greater Direct Ownership Interest Oct 1, 2020 12.5%

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 5

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

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.

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": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1225654098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8427",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 LEGION RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062997",
            "telephone_number": "910-424-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARROLTON OF FAYETTEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "910-474-4381"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Carrolton of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.