Active NPI
Clapp'S Convalescent Nursing Home, Inc.
- Skilled Nursing Facility
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0020
- Legal business name
- CLAPP'S CONVALESCENT NURSING HOME, INC.
- Practice address
- 500 Mountain Top Dr
Asheboro, NC 27203-5039 - Phone
- (336) 625-2074
- Fax
- (336) 625-1927
- NPI assigned
- Mar 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Grant Hollowell
- Title
- Owner/Administrator
- Phone
- (919) 201-5388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0020 | NC | Primary |
Addresses
Primary practice location
500 Mountain Top Dr
Asheboro, NC 27203-5039
Mailing address
500 Mountain Top Dr
Asheboro, NC 27203-5039
Phone (336) 625-2074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405015 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030317000013 | NC | Part A Provider - Skilled Nursing Facility | 5698684835 | Practice locations: Asheboro, NC |
Skilled nursing facility certification: CCN 345015
- Legal name
- CLAPP'S CONVALESCENT NURSING HOME, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1967
- Last certification
- Oct 2, 2024
- Beds
- 96
- Ownership / control type
- Individual
- Organization structure
- Corporation
- Incorporated
- Jan 26, 1959 in NC
- Enrollment address
- 500 Mountain Top Dr
Asheboro, NC 27203-5039 - Nursing home name
- CLAPP'S CONVALESCENT NURSING HOME INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Clapp's Convalescent Nursing Home Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 96
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0947372 | Clapp'S Convalescent Nursing Home Inc | Certificate of waiver | Jun 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
500 Mountain Top Dr
Asheboro, NC 27203
Phone (336) 625-2074
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Aug 31, 2023 | ||
| Adp of the SNF | Mar 8, 2018 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Adp of the SNF | Mar 22, 2021 | ||
| Adp of the SNF | Sep 6, 2021 | ||
| Adp of the SNF | Jul 30, 2025 | ||
| Adp of the SNF | Jul 28, 2003 | ||
| Matthew Grant Hollowell | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 50% |
| Operational/Managerial Control | Sep 1, 2023 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Direct Ownership Interest | Sep 1, 2023 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Adp of the SNF | Jan 1, 2014 | ||
| Adp of the SNF | Jan 23, 2007 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Adp of the SNF | Oct 27, 2021 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Adp of the SNF | Sep 9, 2024 | ||
| Adp of the SNF | Oct 2, 2023 | ||
| Adp of the SNF | Aug 24, 2016 | ||
| Danielle Hollowell | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 50% |
| Adp of the SNF | Aug 31, 2023 | ||
| Adp of the SNF | Jan 28, 2008 | ||
| Adp of the SNF | Jun 23, 1997 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Asheboro, NC
- NPI 1629055033
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": "1142985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1740249382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MOUNTAIN TOP DR",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035039",
"telephone_number": "336-625-2074",
"fax_number": "336-625-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MOUNTAIN TOP DR",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035039",
"telephone_number": "336-625-2074",
"fax_number": "336-625-1927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAPP'S CONVALESCENT NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-22",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "HOLLOWELL",
"authorized_official_first_name": "GRANT",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "919-201-5388",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH0020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3405015",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.