Active NPI
Compass Healthcare and Rehab Rowan, LLC
- Skilled Nursing Facility
- Spencer, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COMPASS HEALTHCARE AND REHAB ROWAN, LLC
- Practice address
- 1404 S Salisbury Ave
Spencer, NC 28159-1921 - Phone
- (919) 922-4084
- NPI assigned
- Nov 26, 2018
- Last updated
- May 3, 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 W Nunn
- Title
- President
- Phone
- (919) 922-4084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1404 S Salisbury Ave
Spencer, NC 28159-1921
Mailing address
2206 W Market St
Greensboro, NC 27403-1516
Phone (919) 922-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190220002452 | NC | Part A Provider - Skilled Nursing Facility | 3274871017 | Practice locations: Spencer, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407325103. Details of each certification follow.
Skilled nursing facility certification: CCN 345288
- Legal name
- COMPASS HEALTHCARE AND REHAB ROWAN, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 11, 1988
- Last certification
- Aug 21, 2024
- Beds
- 70
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Oct 5, 2018 in NC
- Enrollment address
- 1404 S Salisbury Ave
Spencer, NC 28159-1921 - Nursing home name
- COMPASS HEALTHCARE AND REHAB ROWAN, LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Compass Healthcare and Rehab Rowan, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Aug 11, 1988
- Medicare certification status
- Active
- Certified beds
- 70
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Compass Healthcare and Rehab Rowan
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Spencer, NC
- NPI 1396213500
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 | Dec 21, 2018 | 100% |
| Corporate Officer | Dec 21, 2018 | 100% | |
| Operational/Managerial Control | Dec 21, 2018 | 100% |
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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1225100613
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1225100613
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556841600000",
"number": "1407325103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 W MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031516",
"telephone_number": "919-922-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 S SALISBURY AVE",
"city": "SPENCER",
"state": "NC",
"postal_code": "281591921",
"telephone_number": "919-922-4084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS HEALTHCARE AND REHAB ROWAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-26",
"last_updated": "2019-05-03",
"status": "A",
"authorized_official_last_name": "NUNN",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-922-4084"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, NC
- Carolinas Physicians Network Inc (Cabarrus Family Medicine - Rowan I)
- Carolinas Physicians Network Inc (Cabarrus Family Medicine - Rowan II)
- Chisohlm Chukwu II PLLC (Rowan Dental Implants and Oral Surgery)
- Damon Leshawn Cole, CPSS
- Compass Healthcare and Rehab Rowan, LLC
- Lasheena Cowan
- Debra Lynn Cox, COTA
- Samuel Dastrup
- Michele Renee Davis, MA, CCC/SLP
- David Alan Desanto
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.