NPIMap

Organization Active NPI

Laurel Health Care Company of North Carolina, Inc.

Doing business as The Laurels of Hendersonville

  • Skilled Nursing Facility
  • Hendersonville, NC
National Provider Identifier
1770538092
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0480 Issued in NC
Legal business name
LAUREL HEALTH CARE COMPANY OF NORTH CAROLINA, INC.
Doing business as
The Laurels of Hendersonville
Practice address
2220 N Main St
Hendersonville, NC 28792-2438
Phone
(828) 692-6000
Fax
(828) 692-6804
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Mr. Anis Khan
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0480 NC
Skilled Nursing Facility 314000000X NH0480 NC Primary

Addresses

Primary practice location

2220 N Main St
Hendersonville, NC 28792-2438

Mailing address

8181 Worthington Rd
Westerville, OH 43082-8067
Phone (614) 794-8800

Other identifiers 4

IdentifierTypeStateIssuer
3415322MedicaidNC
0097XOtherNCBLUE CROSS BLUE SHIELD #
NH0480OtherNCNURSING HOME LICENSE #
3416589MedicaidNC

Other names 1

  • THE LAURELS OF HENDERSONVILLE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030918000000 NC Part A Provider - Skilled Nursing Facility 7315858446 Practice locations: Hendersonvlle, NC

Skilled nursing facility certification: CCN 345322

Legal name
LAUREL HEALTH CARE COMPANY OF NORTH CAROLINA, INC.
Doing business as
THE LAURELS OF HENDERSONVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 27, 1990
Last certification
Mar 20, 2025
Beds
120 (100 certified)
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare
Organization structure
CorporationProprietary
Incorporated
Dec 31, 1991 in NC
Enrollment address
290 Clear Creek Rd
Hendersonvlle, NC 28792-6148
Nursing home name
THE LAURELS OF HENDERSONVILLE
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of HendersonvilleCCN 345322 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 27, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10091.9 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
5Fines totaling $36,257

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Laurel Health Care Company of North Carolina Inc2 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 13

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

NameRoleSinceShare
Preston Rodney Harness Individual Operational/Managerial Control Nov 28, 2023
Adp of the SNF Nov 28, 2023
David Stobb Individual Corporate OfficerSecretary Feb 1, 2016 100%
Adp of the SNF Feb 1, 2016
Anis Khan Individual Corporate OfficerTreasurer Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 31, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 31, 2025
Blair L Holl Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2016 100%
Corporate OfficerPresident Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Adp of the SNF Feb 1, 2016
Hendersonville Senior Leasing, LLC Organization, Westerville, OH LLC, For-profit Adp of the SNF Feb 1, 2016
Organization, MC Lean, VA LLC, Financial institution, For-profit Adp of the SNF Mar 31, 2025
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 2016 100%
Adp of the SNF Mar 31, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 67

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

View all 67

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1770538092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 WORTHINGTON RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828067",
            "telephone_number": "614-794-8800",
            "fax_number": "614-794-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922438",
            "telephone_number": "828-692-6000",
            "fax_number": "828-692-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTH CARE COMPANY OF NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0480",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415322",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "0097X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE #",
            "identifier": "NH0480",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416589",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF HENDERSONVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.