NPIMap

Organization Active NPI

Carolina Village, Inc.

  • Skilled Nursing Facility
  • Hendersonville, NC
National Provider Identifier
1831189141
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0174 Issued in NC
Legal business name
CAROLINA VILLAGE, INC.
Practice address
600 Carolina Village Rd Ste Z
Hendersonville, NC 28792-1800
Phone
(828) 692-6275
Fax
(828) 692-7876
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Mr. Kevin Parries
Title
Executive Director
Phone
(828) 692-6275

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Adult Care Home Facility 311ZA0620X
Skilled Nursing Facility 314000000X NH0174 NC Primary

Addresses

Primary practice location

600 Carolina Village Rd Ste Z
Hendersonville, NC 28792-1800

Mailing address

600 Carolina Village Rd Ste Z
Hendersonville, NC 28792-1800
Phone (828) 692-6275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100203000336 NC Part A Provider - Rural Health Clinic 0547303232 Practice locations: Hendersonville, NC

Rural health clinic certification: CCN 345123

Legal name
CAROLINA VILLAGE, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 1, 1974
Last certification
Jan 24, 2025
Beds
58
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 8, 1971 in NC
Enrollment address
600 Carolina Village Road
Hendersonville, NC 28792-1800

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carolina Village IncCCN 345123
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Oct 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5846.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Carolina Village 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.

Locations

600 Carolina Village Rd
Ste Z
Hendersonville, NC 28792
Phone (828) 233-0848

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Alex Tucker Individual W-2 Managing EmployeeAd; Dec 12, 2011
Kristel Bane Individual W-2 Managing EmployeeBusiness Office Manager Jun 25, 1999
Kevin Parries Individual Corporate OfficerCeo Dec 28, 2009
W-2 Managing EmployeeCeo Dec 28, 2009
Holly Styles Individual W-2 Managing EmployeeDirector of Nursing May 12, 2024
Jon Renegar Individual W-2 Managing EmployeeChief Operations Officer Nov 21, 2011
Ashley Alley Individual W-2 Managing EmployeeStaff Development Aug 4, 2021
Amber Anderson Individual Corporate OfficerCfo Jan 3, 2020
Lindsey Colecio Individual W-2 Managing EmployeeDietary Manager Jun 3, 2009
Larry J Russell Individual Contracted Managing EmployeeMD; Dec 28, 2009

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1831189141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAROLINA VILLAGE RD STE Z",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287921800",
            "telephone_number": "828-692-6275",
            "fax_number": "828-692-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAROLINA VILLAGE RD STE Z",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287921800",
            "telephone_number": "828-692-6275",
            "fax_number": "828-692-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "PARRIES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-692-6275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.