Carthage Healthcare Inc.
Organization Active NPI Skilled Nursing Facility · Carthage, NC
NPI 1841390002 · NPPES record last updated Nov 16, 2022
Key facts
- NPI
- 1841390002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0539 (NC)
- Legal business name
- CARTHAGE HEALTHCARE INC.
- Practice address
- 801 Pinehurst Ave
Carthage, NC 28327-9338 - Phone
- (910) 947-5155
- Fax
- (910) 947-5631
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian S. Hill
- Title
- Cfo
- Phone
- (919) 290-2722
Facilities with the same owner 8
Practitioners 1
-
Rajan Mitchell, D.O.
Affiliated clinicians 1
-
Rajan Mitchell, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Peak Resources - Pinelake
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 14, 1992
- Medicare certification status
- Active
- Certified beds
- 108 · 101.5 residents per day on average
- Chain
- Peak Resources, Inc.
- Penalties (3 years)
- 1 · fines totaling $7,901
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345429
- Legal name
- CARTHAGE HEALTHCARE INC.
- Doing business as
- PEAK RESOURCES PINELAKE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 14, 1992
- Last certification
- Aug 21, 2024
- Beds
- 108
- Ownership / control type
- Corporation
- Multi-facility organization
- Peak Resources Inc
- Most recent change of ownership
- Oct 1, 2005
- Organization structure
- Corporation · Proprietary
- Incorporated
- May 1, 2005 in NC
- Enrollment address
- 801 Pinehurst Ave
Carthage, NC 28327-9338 - Nursing home name
- PEAK RESOURCES - PINELAKE
- Affiliated entity
- PEAK RESOURCES, INC.
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Peak Resources Inc |
Operational/Managerial Control | Aug 5, 2005 | 100% |
| Brian S Hill |
Operational/Managerial Control |
Nov 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051123000109 | NC | Part a Provider - Skilled Nursing Facility | 5890711691 | Practice locations: Carthage, NC |
National Provider Directory
Locations
801 Pinehurst Ave
Carthage, NC 28327
Phone (910) 947-5155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NH0539 | NC | |
| Skilled Nursing Facility | 314000000X | NH0539 | NC | Yes |
Addresses
Primary practice location
801 Pinehurst Ave
Carthage, NC 28327-9338
Mailing address
801 Pinehurst Ave
Carthage, NC 28327-9338
Phone (910) 947-5155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805231 | Medicaid | NC | |
| 3425429 | Medicaid | NC | |
| 342603W | Medicaid | NC |
Other names
- Pinelake Health & Rehab
Other providers in Carthage, NC
- Christopher Berry
- Bradley Langley DDS PLLC
- David Brill
- Roberta Kathleen Britt
- Carthage Family Care PA
- Tifane S Chambers
- Charles M. Guizzotti, D.D.S., P.a.
- Katie Irene Chisolm
- County of Moore
- County of Moore
All providers in Carthage, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.