Organization Active NPI

Mecklenburg Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Charlotte, NC
National Provider Identifier
1790317840
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MECKLENBURG HEALTH AND REHABILITATION, LLC
Practice address
2415 Sandy Porter Rd
Charlotte, NC 28273-3695
Phone
(704) 583-0430
Fax
(704) 583-0433
NPI assigned
Feb 6, 2020
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Mr. Christopher John Sprenger
Title
Manager
Phone
(919) 608-9123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2415 Sandy Porter Rd
Charlotte, NC 28273-3695

Mailing address

229 Airport Rd Ste 7-104
Arden, NC 28704-6402
Phone (919) 608-9123

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200720002061 NC Part A Provider - Skilled Nursing Facility 8820412117 Practice locations: Charlotte, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790317840. Details of each certification follow.

Skilled nursing facility certification: CCN 345471

Legal name
MECKLENBURG HEALTH AND REHABILITATION LLC
Doing business as
MECKLENBURG HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 21, 1995
Last certification
Jun 6, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 16, 2019 in NC
Enrollment address
2415 Sandy Porter Rd
Charlotte, NC 28273-3695
Nursing home name
MECKLENBURG HEATH AND REHABILITATION
Affiliated entity
SANSTONE HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mecklenburg Heath and RehabilitationCCN 345471 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 21, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10092.7 residents per day on average
Chain
Sanstone Health & Rehabilitation18 facilities in the chain
Penalties (3 years)
1Fines totaling $4,475

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Mecklenburg Health and Rehabilitation LLC Organization, Arden, NC LLC Operational/Managerial Control Jun 1, 2020 100%
Christopher Sprenger Individual 5% Or Greater Direct Ownership Interest Jun 1, 2020 100%
Corporate OfficerMamager Jun 1, 2020 100%
Operational/Managerial ControlOwner Jun 1, 2020

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 3

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": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1790317840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 AIRPORT RD STE 7-104",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287046402",
            "telephone_number": "919-608-9123",
            "fax_number": "919-882-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SANDY PORTER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733695",
            "telephone_number": "704-583-0430",
            "fax_number": "704-583-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "SPRENGER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-608-9123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.