Organization Active NPI

Compass Healthcare and Rehab Rowan, LLC

  • Skilled Nursing Facility
  • Spencer, NC
National Provider Identifier
1407325103
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 345288 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Aug 11, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7059.7 residents per day on average
Penalties (3 years)
1Fines totaling $10,039

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Compass Healthcare and Rehab Rowan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Todd W Nunn Individual 5% Or Greater Direct Ownership Interest Dec 21, 2018 100%
Corporate OfficerCeo Dec 21, 2018 100%
Operational/Managerial ControlCeo 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.

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": "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

Sources for this page

Verify at the official NPI Registry.