Active NPI
Belaire Operator LLC
Doing business as Belaire Health Care Center
- Skilled Nursing Facility
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BELAIRE OPERATOR LLC
- Doing business as
- Belaire Health Care Center
- Practice address
- 2065 Lyon St
Gastonia, NC 28052-6230 - Phone
- (704) 867-7300
- NPI assigned
- May 21, 2021
- Last updated
- May 21, 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
- Beverly Young
- Title
- Administrator
- Phone
- (704) 867-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
2065 Lyon St
Gastonia, NC 28052-6230
Mailing address
2065 Lyon St
Gastonia, NC 28052-6230
Other names 1
- Belaire Health Care 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 |
|---|---|---|---|---|
| O20210818004067 | NC | Part A Provider - Skilled Nursing Facility | 1850796590 | Practice locations: Gastonia, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316512346. Details of each certification follow.
Skilled nursing facility certification: CCN 345457
- Legal name
- BELAIRE OPERATOR LLC
- Doing business as
- BELAIRE HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 13, 1994
- Last certification
- May 9, 2024
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medical Facilities of America
- Organization structure
- LLC
- Incorporated
- Mar 23, 2021 in NV
- Enrollment address
- 2065 Lyon St
Gastonia, NC 28052-6230 - Nursing home name
- BELAIRE HEALTH CARE CENTER
- Affiliated entity
- LIFEWORKS REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Belaire Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 13, 1994
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Lifeworks Rehab
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 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 | |
| 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% |
| Dennis Carver | W-2 Managing Employee | Sep 13, 2023 | 100% |
| Belaire 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 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 Charlotte Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1194309336
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
- Concord, NC
- NPI 1396851218
-
- Internal Medicine Physician
- Concord, NC
- NPI 1184631533
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": "1621555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621555200000",
"number": "1316512346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 LYON ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280526230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 LYON ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280526230",
"telephone_number": "704-867-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELAIRE OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-12",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-867-7300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Belaire Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.