Active NPI
Mecklenburg Health and Rehabilitation, LLC
- Skilled Nursing Facility
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2022
- 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. Christopher John Sprenger
- Title
- Manager
- Phone
- (919) 608-9123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 21, 1995
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Sanstone Health & Rehabilitation
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mecklenburg Health and Rehabilitation LLC | Operational/Managerial Control | Jun 1, 2020 | 100% |
| Christopher Sprenger | 5% Or Greater Direct Ownership Interest | Jun 1, 2020 | 100% |
| Corporate Officer | Jun 1, 2020 | 100% | |
| Operational/Managerial Control | 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.
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1205883113
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1578829313
Nursing home
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
- Mecklenburg Eye Associates PA
- Mecklenburg Eye Associates PA
- Mecklenburg Eye Associates PA
- Mecklenburg Foot & Ankle Associates
- Mecklenburg Foot & Ankle Associates and Diabetic Foot Clinic PC
- Mecklenburg Health Care Center, Inc. (Mecklenburg Health & Rehabilitation Center)
- Mecklenburg Heart Specialists, P.a.
- Mecklenburg Home Health, Inc. (Home Health Professionals)
- Mecklenburg Medical Group
- Mecklenburg Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.