NPIMap

Organization Active NPI

Century Care of Cherryville, Inc

  • Skilled Nursing Facility
  • Cherryville, NC
National Provider Identifier
1609976901
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0403 Issued in NC
Legal business name
CENTURY CARE OF CHERRYVILLE, INC
Practice address
7615 Dallas Cherryville Hwy
Cherryville, NC 28021-9049
NPI assigned
Sep 25, 2006
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Brian Scott Hill
Title
Cfo / Secretary
Phone
(919) 290-2722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NH0403 NC
Skilled Nursing Facility 314000000X NH0403 NC Primary

Addresses

Primary practice location

7615 Dallas Cherryville Hwy
Cherryville, NC 28021-9049

Mailing address

101 Baines CT
Cary, NC 27511-6625
Phone (919) 290-2722

Other practice location 1

700 Self St
Cherryville, NC 28021-2735
Phone (704) 435-6029

Other identifiers 3

IdentifierTypeStateIssuer
3425395MedicaidNC
7802882MedicaidNC
3436261MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000047 NC Part A Provider - Skilled Nursing Facility 2668362112 Practice locations: Cherryville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609976901. Details of each certification follow.

Skilled nursing facility certification: CCN 345395

Legal name
CENTURY CARE OF CHERRYVILLE, INC
Doing business as
PEAK RESOURCES - CHERRYVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1991
Last certification
Jun 5, 2025
Beds
127 (70 certified)
Ownership / control type
Corporation
Multi-facility organization
Peak Resources Inc
Organization structure
CorporationProprietary
Incorporated
Mar 22, 1999 in NC
Enrollment address
7615 Dallas Cherryville Hwy
Cherryville, NC 28021-9049
Nursing home name
PEAK RESOURCES-CHERRYVILLE
Affiliated entity
PEAK RESOURCES, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Peak Resources-CherryvilleCCN 345395 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7063.6 residents per day on average
Chain
Peak Resources, Inc.8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0702922Century Care of Cherryville7615 Dallas-Cherryville Highway, Cherryville, NC 28021Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Cheryl Mikell Individual W-2 Managing Employee May 21, 2009
Harold Prince Nunn Individual 5% Or Greater Direct Ownership Interest Mar 23, 1999
Corporate Director Mar 18, 2004
Peak Resources Inc Organization, Gastonia, NC Operational/Managerial Control Jul 31, 2003
Brian S Hill Individual Corporate OfficerCfo Mar 1, 2015 100%
Operational/Managerial ControlCfo Mar 1, 2015 100%
Todd W Nunn Individual Corporate Officer Jan 1, 2013

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1609976901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BAINES CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116625",
            "telephone_number": "919-290-2722",
            "fax_number": "919-447-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 DALLAS CHERRYVILLE HWY",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280219049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Self St",
            "address_purpose": "LOCATION",
            "city": "Cherryville",
            "state": "NC",
            "postal_code": "280212735",
            "country_code": "US",
            "telephone_number": "704-435-6029",
            "fax_number": "704-495-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTURY CARE OF CHERRYVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CFO / SECRETARY",
        "authorized_official_telephone_number": "919-290-2722"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0403",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425395",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802882",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3436261",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherryville, NC

Sources for this page

Verify at the official NPI Registry.