Organization Active NPI

DLP Rutherford Physician Practices LLC

Doing business as Chase Family Care

  • Rural Health Clinic/Center
  • Forest City, NC
National Provider Identifier
1639853997
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DLP RUTHERFORD PHYSICIAN PRACTICES LLC
Doing business as
Chase Family Care
Practice address
1269 US Highway 221a
Forest City, NC 28043-5921
Phone
(828) 657-5371
Fax
(828) 657-9190
NPI assigned
Jun 14, 2023
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1269 US Highway 221a
Forest City, NC 28043-5921

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Chase Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140724001507 NC Part B Supplier - Clinic/Group Practice 0345466561 Receives reassigned benefits from 85 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, NC; Rutherfordton, NC; Mooresboro, NC; Forest City, NC
O20230719001968 NC Part A Provider - Rural Health Clinic 0345466561 Practice locations: Forest City, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639853997. Details of each certification follow.

Rural health clinic certification: CCN 348978

Legal name
DLP RUTHERFORD PHYSICIAN PRACTICES LLC
Doing business as
CHASE FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 30, 2023
Last certification
Nov 30, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Mar 14, 2014 in DE
Enrollment address
1269 US Highway 221a
Forest City, NC 28043-5921

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1269 US Highway 221A
Forest City, NC 28043
Phone (828) 657-5371

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
Pamela Kane Individual Corporate OfficerVice President Jul 1, 2023
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
DLP Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
DLP Rutherford Regional Health System, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Jul 1, 2023
DLP Partner LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Jul 1, 2023
Christopher J Monte Individual Corporate OfficerVice President Jul 1, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 202

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

View all 202

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1639853997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 US HIGHWAY 221A",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435921",
            "telephone_number": "828-657-5371",
            "fax_number": "828-657-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP RUTHERFORD PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chase Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chase Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest City, NC

Sources for this page

Verify at the official NPI Registry.