NPIMap

Organization Active NPI

Carver Healthcare LLC

Doing business as Carver Living Center

  • Skilled Nursing Facility
  • Durham, NC
National Provider Identifier
1669821336
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0543 Issued in NC
Legal business name
CARVER HEALTHCARE LLC
Doing business as
Carver Living Center
Practice address
303 E Carver St
Durham, NC 27704-2135
Phone
(919) 471-3558
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Mr. Jacob S. Stern
Title
Manager
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0543 NC Primary

Addresses

Primary practice location

303 E Carver St
Durham, NC 27704-2135

Mailing address

100 Route 70 Ste 3
Lakewood, NJ 08701-7406
Phone (732) 659-1353

Other names 1

  • Carver Living Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160826002378 NC Part A Provider - Skilled Nursing Facility 8527353721 Practice locations: Durham, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669821336. Details of each certification follow.

Skilled nursing facility certification: CCN 345434

Legal name
CARVER HEALTHCARE LLC
Doing business as
CARVER LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 12, 1993
Last certification
Feb 7, 2025
Beds
232
Ownership / control type
Limited Liability Corporation
Multi-facility organization
CCH Healthcare
Organization structure
CorporationProprietary
Incorporated
Feb 24, 2016 in DE
Enrollment address
303 E Carver Street
Durham, NC 27704
Nursing home name
CARVER LIVING CENTER
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carver Living CenterCCN 345434 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 12, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
232175.3 residents per day on average
Chain
CCH Healthcare33 facilities in the chain
Penalties (3 years)
5Fines totaling $128,554

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Carver Healthcare LLC2 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 4

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

NameRoleSinceShare
Carol McClure Individual Operational/Managerial ControlAdministrator Jun 1, 2016 100%
CCH Healthcare LLC Organization, Lakewood, NJ 5% Or Greater Direct Ownership Interest Jun 1, 2016 100%
Forbright Bank Organization, Bethesda, MD Financial institution, For-profit 5% Or Greater Security Interest Jun 1, 2016
Jacob Stern Individual 5% Or Greater Indirect Ownership InterestManager Jun 1, 2016 100%
Operational/Managerial ControlManager Jun 1, 2016 100%
OtherAuthorized Individual Jun 1, 2016

Facilities with the same owner 2

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

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": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1669821336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 70 STE 3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017406",
            "telephone_number": "732-659-1353",
            "fax_number": "866-306-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E CARVER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042135",
            "telephone_number": "919-471-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carver Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.