Active NPI
Compass Healthcare and Rehab Guilford, LLC
- Skilled Nursing Facility
- Stokesdale, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COMPASS HEALTHCARE AND REHAB GUILFORD, LLC
- Practice address
- 7700 US Highway 158
Stokesdale, NC 27357-9346 - Phone
- (336) 643-6301
- NPI assigned
- May 17, 2019
- 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
- Todd Williams Nunn
- Title
- President
- Phone
- (919) 922-4084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
7700 US Highway 158
Stokesdale, NC 27357-9346
Mailing address
7700 US Highway 158
Stokesdale, NC 27357-9346
Phone (336) 643-6301
Other names 1
- Countryside
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190813003803 | NC | Part A Provider - Skilled Nursing Facility | 7113254178 | Practice locations: Stokesdale, NC |
Skilled nursing facility certification: CCN 345390
- Legal name
- COMPASS HEALTHCARE AND REHAB GUILFORD LLC
- Doing business as
- COUNTRYSIDE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 22, 1991
- Last certification
- May 2, 2025
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Mar 10, 2019 in NC
- Enrollment address
- 7700 US Hwy 168
Stokesdale, NC 27357
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Countryside
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 22, 1991
- Medicare certification status
- Active
- Certified beds
- 60
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2168138 | Compass Healthcare and Rehab | Certificate of waiver | Jun 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
2905 Crouse Ln
Burlington, NC 27215
Phone (336) 538-2494
Ownership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Todd W Nunn | 5% Or Greater Direct Ownership Interest | Jul 1, 2019 | 100% |
| Corporate Officer | Jul 1, 2019 | 100% | |
| Operational/Managerial Control | Jul 1, 2019 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Burlington, NC
- NPI 1346237617
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": "1558051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581206400000",
"number": "1346806015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 US HIGHWAY 158",
"city": "STOKESDALE",
"state": "NC",
"postal_code": "273579346",
"telephone_number": "336-643-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 US HIGHWAY 158",
"city": "STOKESDALE",
"state": "NC",
"postal_code": "273579346",
"telephone_number": "336-643-6301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS HEALTHCARE AND REHAB GUILFORD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-17",
"last_updated": "2020-02-09",
"certification_date": "2020-02-09",
"status": "A",
"authorized_official_last_name": "NUNN",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "WILLIAMS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-922-4084"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Countryside",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stokesdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.