NPIMap

Organization Active NPI

Hospice of Stanly County, Inc.

Doing business as Hospice of Stanly & the Uwharrie

  • Community Based Hospice Care Agency
  • Albemarle, NC
National Provider Identifier
1316934235
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOS0402 Issued in NC
Legal business name
HOSPICE OF STANLY COUNTY, INC.
Doing business as
Hospice of Stanly & the Uwharrie
Tillery Compassionate Care
Practice address
960 N 1St St
Albemarle, NC 28001
Phone
(704) 983-4216
Fax
(704) 983-6662
NPI assigned
Oct 5, 2005
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPICE OF STANLY COUNTY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Lori S Thayer
Title
Executive Director
Phone
(704) 983-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOS0402 NC Primary

Addresses

Primary practice location

960 N 1St St
Albemarle, NC 28001

Mailing address

960 N 1St St
Albemarle, NC 28001-3350
Phone (704) 983-4216

Other identifiers 1

IdentifierTypeStateIssuer
3401542MedicaidNC

Other names 2

  • Hospice of Stanly & the Uwharrie Doing business as
  • Tillery Compassionate Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091118000155 NC Part A Provider - Hospice 0749328425 Practice locations: Albemarle, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316934235. Details of each certification follow.

Hospice certification: CCN 341542

Legal name
HOSPICE OF STANLY COUNTY, INC.
Doing business as
TILLERY COMPASSIONATE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 3, 1989
Last certification
Jun 27, 2015
Ownership / control type
Non-Profit - Other
Organization structure
OtherNon-profit
Incorporated
Apr 1, 1982 in NC
Enrollment address
960 N 1St St
Albemarle, NC 28001-3350

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: Hospice

Medicare Care Compare
Listed as
Tillery Compassionate CareCCN 341542 · All quality measures
Ownership
Non-Profit
Certified
Aug 3, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Stanly County in2 organizations share this tax ID, including this one
Part of
Hospice of Stanly County in

Other organizations with this tax ID 1

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

Locations

960 N 1st St
Albemarle, NC 28001
Phone (704) 983-4216

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Garry West Individual Corporate DirectorBoard Member Jan 1, 2026
William Stephen Aldridge Individual Corporate DirectorBoard Treasurer Jun 1, 2021
Kayren Brantley Individual Corporate DirectorBoard Chair Jun 1, 2020
Elizabeth B Thomas Individual W-2 Managing EmployeeFamily Services Manager Jul 28, 2005
Joan D Eudy Individual Corporate DirectorBoard Member Jan 1, 2025
David Ford Individual Corporate DirectorBoard Member Jan 1, 2026
Lauren Harkins Individual Corporate DirectorBoard Member Jan 1, 2025
Sherra C Lowder Individual W-2 Managing EmployeeCfo Jan 29, 2007
Larry Hatley Individual Corporate DirectorBoard Member Jan 1, 2026
Renee Morton Individual W-2 Managing EmployeeDirector of Nursing Mar 9, 2016
John Reid Individual Corporate DirectorBoard Member Jan 1, 2026
Jimmy Dale Patterson Individual Corporate Director Jun 1, 2023
Lori S Thayer Individual Corporate DirectorExecutive Director Apr 27, 2015
W-2 Managing EmployeeExecutive Director Apr 27, 2015
Leonard David Saltzman Individual W-2 Managing EmployeeMedical Director Nov 1, 2021

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 7

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 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1316934235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N 1ST ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013350",
            "telephone_number": "704-983-4216",
            "fax_number": "704-983-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N 1ST ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "28001",
            "telephone_number": "704-983-4216",
            "fax_number": "704-983-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF STANLY COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE OF STANLY COUNTY INC.",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-983-4216"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS0402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401542",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Stanly & the Uwharrie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tillery Compassionate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.