Active NPI
Shaire Nursing Center
- Skilled Nursing Facility
- Lenoir, NC
National Provider Identifier
1740386473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0578
- Legal business name
- SHAIRE NURSING CENTER
- Practice address
- 1450 Shaire Center Dr
Lenoir, NC 28645-7565 - Phone
- (828) 728-6500
- Fax
- (828) 728-0878
- NPI assigned
- Sep 16, 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. Micheal Jason Haire
- Title
- Administrator
- Phone
- (828) 728-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0578 | NC | Primary |
Addresses
Primary practice location
1450 Shaire Center Dr
Lenoir, NC 28645-7565
Mailing address
PO Box 668
Hudson, NC 28638-0668
Phone (828) 728-6500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0085J | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 340611T | Medicaid | NC | |
| 3405483 | 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 |
|---|---|---|---|---|
| O20120203000248 | NC | Part A Provider - Skilled Nursing Facility | 4385801232 | Practice locations: Lenoir, NC |
Skilled nursing facility certification: CCN 345483
- Legal name
- SHAIRE NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home โ SNF/NF dual certification
- Participating since
- Jun 16, 1997
- Last certification
- Jul 3, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 16, 1996 in NC
- Enrollment address
- 1450 Shaire Center Drive
Building 2
Lenoir, NC 28645-7565 - Nursing home name
- SHAIRE NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Shaire Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 16, 1997
- Medicare certification status
- Active
- Certified beds
- 60
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kay Haire | 5% Or Greater Direct Ownership Interest | Jan 16, 1996 | 45% |
| Corporate Officer | Jun 30, 2020 | 45% | |
| Micheal Haire | 5% Or Greater Direct Ownership Interest | Jan 16, 1996 | 35% |
| Corporate Officer | Jan 16, 1996 | 35% | |
| W-2 Managing Employee | Jan 16, 1996 | 35% | |
| Katherine Haire | 5% Or Greater Direct Ownership Interest | Jun 30, 2020 | 20% |
| Corporate Officer | Jun 30, 2020 | 20% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Asheville, NC
- NPI 1154300820
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": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740386473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 668",
"city": "HUDSON",
"state": "NC",
"postal_code": "286380668",
"telephone_number": "828-728-6500",
"fax_number": "828-728-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SHAIRE CENTER DR",
"city": "LENOIR",
"state": "NC",
"postal_code": "286457565",
"telephone_number": "828-728-6500",
"fax_number": "828-728-0878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAIRE NURSING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAIRE",
"authorized_official_first_name": "MICHEAL",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "828-728-6500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH0578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "0085J",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340611T",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3405483",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.