Fleshers Fairview Health Care
Organization Active NPI Skilled Nursing Facility · Fairview, NC
NPI 1396747689 · NPPES record last updated Sep 27, 2016
Key facts
- NPI
- 1396747689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0517 (NC)
- Legal business name
- FLESHERS FAIRVIEW HEALTH CARE
- Practice address
- 3016 Cane Creek Rd
Fairview, NC 28730-8743 - Phone
- (828) 628-2800
- Fax
- (828) 628-0209
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cheri Talbot Mitchell, RN, NHA
- Title
- Administrator
- Phone
- (828) 628-2800
Corporate family (same tax ID) 2
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Fleshers Fairview Health Care
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 30, 1992
- Certified beds
- 106 · 47.0 residents per day on average
- Penalties (3 years)
- 3 · fines totaling $61,321
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345413
- Legal name
- FLESHERS FAIRVIEW HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 30, 1992
- Last certification
- Sep 6, 2024
- Beds
- 120 (106 certified)
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 22, 1991 in NC
- Enrollment address
- 3016 Cane Creek Rd
Fairview, NC 28730-8743 - Nursing home name
- FLESHERS FAIRVIEW HEALTH CARE
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Cheryl Mitchell |
5% Or Greater Direct Ownership Interest |
Oct 1, 2002 | 33% |
| Operational/Managerial Control | Dec 10, 2009 | ||
| Managing Control - Governing Body |
Dec 10, 2009 | ||
| Adp of the SNF | Dec 10, 2009 | ||
| Direct Ownership Interest | Dec 10, 2009 | 33% | |
| Susan Cole |
5% Or Greater Direct Ownership Interest |
Oct 1, 2002 | 33% |
| Managing Control - Governing Body |
Dec 10, 2009 | ||
| Adp of the SNF | Dec 10, 2009 | ||
| Direct Ownership Interest | Dec 10, 2009 | 33% | |
| Lisa Dee |
5% Or Greater Direct Ownership Interest |
Oct 1, 2002 | 33% |
| Adp of the SNF | Dec 10, 2009 | ||
| Direct Ownership Interest | Dec 10, 2009 | 33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111101000736 | NC | Part a Provider - Skilled Nursing Facility | 0446423719 | Practice locations: Fairview, NC |
National Provider Directory
- Tax ID family
- Fleshers Fairview Health Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH0517 | NC | |
| Skilled Nursing Facility | 314000000X | NH0517 | NC | Yes |
Addresses
Primary practice location
3016 Cane Creek Rd
Fairview, NC 28730-8743
Mailing address
PO Box 1160
Fairview, NC 28730-1160
Phone (828) 628-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088T | Other | NC | BLUE CROSS BLUE SHIELD |
| 3405413 | Medicaid | NC |
Other providers in Fairview, NC
- Deborah Jane Eldin
- Fairview Chiropractic Center
- Fairview Urgent Care, PLLC
- Fairview Volunteer Fire Department Inc
- Fleshers Fairview Health Care
- Fleshers Fairview Rest Home Inc
- Kristin Brumm Friedmann
- Rebecca Lynn Fugate
- Sonita Chevette Gibbs
- Gift of Giving Home Health Agency
All providers in Fairview, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.