NPIMap

Organization Active NPI

Lutheran Retirement Ministries of Alamance County, North Carolina

Doing business as Twin Lakes Community

  • Skilled Nursing Facility
  • Burlington, NC
National Provider Identifier
1669449799
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0351 Issued in NC
Legal business name
LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA
Doing business as
Twin Lakes Community
Practice address
100 Wade Coble Dr
Burlington, NC 27215-9756
Phone
(336) 538-1500
Fax
(336) 538-1504
NPI assigned
Mar 8, 2006
Last updated
Sep 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Mr. Charles R. Harris
Title
Ceo
Phone
(336) 538-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1011 NC
Nursing Facility/Intermediate Care Facility 313M00000X NH0351 NC
Skilled Nursing Facility 314000000X NH0351 NC Primary

Addresses

Primary practice location

100 Wade Coble Dr
Burlington, NC 27215-9756

Mailing address

100 Wade Coble Dr
Burlington, NC 27215-9756
Phone (336) 538-1500

Other names 1

  • Twin Lakes Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000987 NC Part A Provider - Skilled Nursing Facility 5799758728 Practice locations: Burlington, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669449799. Details of each certification follow.

Skilled nursing facility certification: CCN 345235

Legal name
LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA
Doing business as
TWIN LAKES COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 4, 1983
Last certification
Jan 9, 2025
Beds
104
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 29, 1980 in NC
Enrollment address
3802 Wade Coble Dr
Burlington, NC 27215-9765
Nursing home name
TWIN LAKES COMMUNITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Twin Lakes CommunityCCN 345235 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 4, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10495.8 residents per day on average
Penalties (3 years)
1Fines totaling $6,152

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3802 Wade Coble Dr
Burlington, NC 27215
Phone (336) 538-1400

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jonathan Brent Conklin Individual Corporate OfficerCfo Oct 1, 2017
Pamela Fox Individual Corporate OfficerPresident Ceo Jan 4, 2013 100%
W-2 Managing EmployeePresident Ceo Jan 4, 2013 100%
Lutheran Retirement Ministries of Alamance County, North Carolina Organization, Burlington, NC Non-profit 5% Or Greater Direct Ownership Interest Sep 30, 1983 100%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1669449799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WADE COBLE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159756",
            "telephone_number": "336-538-1500",
            "fax_number": "336-538-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WADE COBLE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159756",
            "telephone_number": "336-538-1500",
            "fax_number": "336-538-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-538-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1011",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0351",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Lakes Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.