Active NPI
DLP Rutherford Physician Practices LLC
Doing business as Rutherford Children's Care
- Rural Health Clinic/Center
- Forest City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- DLP RUTHERFORD PHYSICIAN PRACTICES LLC
- Doing business as
- Rutherford Children's Care
- Practice address
- 162 Commercial Dr Ste B
Forest City, NC 28043-2801 - Phone
- (828) 287-9325
- Fax
- (828) 287-3594
- NPI assigned
- Jun 28, 2023
- Last updated
- Sep 16, 2024
- 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
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
162 Commercial Dr Ste B
Forest City, NC 28043-2801
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other names 1
- Rutherford Children's Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140724001507 | NC | Part B Supplier - Clinic/Group Practice | 0345466561 |
Receives reassigned benefits from 85 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, NC; Rutherfordton, NC; Mooresboro, NC; Forest City, NC |
| O20230712002337 | NC | Part A Provider - Rural Health Clinic | 0345466561 | Practice locations: Forest City, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912684473. Details of each certification follow.
Rural health clinic certification: CCN 348981
- Legal name
- DLP RUTHERFORD PHYSICIAN PRACTICES LLC
- Doing business as
- RUTHERFORD CHILDREN'S CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 1, 2023
- Last certification
- Dec 1, 2023
- Ownership / control type
- 1B
- Organization structure
- LLC
- Incorporated
- Mar 14, 2014 in DE
- Enrollment address
- 162 Commercial Dr
Ste B
Forest City, NC 28043-2801
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Rutherford East Family Care
- Rural Health Clinic/Center
- Mooresboro, NC
- NPI 1063196327
0345466561
-
dba Chase Family Care
- Rural Health Clinic/Center
- Forest City, NC
- NPI 1639853997
0345466561
-
dba Rutherford Family Care
- Rural Health Clinic/Center
- Rutherfordton, NC
- NPI 1720849391
0345466561
-
dba Forest City Family Care
- Rural Health Clinic/Center
- Forest City, NC
- NPI 1750068219
0345466561
-
- Family Medicine Physician
- Forest City, NC
- NPI 1962821322
0345466561
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Rutherford East Family Care
- Rural Health Clinic/Center
- Mooresboro, NC
- NPI 1063196327
O20140724001507
-
dba Rutherford Orthopaedics
- Orthopaedic Surgery Physician
- Rutherfordton, NC
- NPI 1275943698
O20140724001507
-
dba Chase Family Care
- Rural Health Clinic/Center
- Forest City, NC
- NPI 1639853997
O20140724001507
-
dba Rutherford Family Care
- Rural Health Clinic/Center
- Rutherfordton, NC
- NPI 1720849391
O20140724001507
-
dba Forest City Family Care
- Rural Health Clinic/Center
- Forest City, NC
- NPI 1750068219
O20140724001507
-
- Family Medicine Physician
- Forest City, NC
- NPI 1962821322
O20140724001507
National Provider Directory
National Provider Directory- Tax ID family
- DLP Rutherford Physician Practices LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Rutherford East Family Care
- Rural Health Clinic/Center
- Mooresboro, NC
- NPI 1063196327
-
dba Rutherford Family Care
- Rural Health Clinic/Center
- Rutherfordton, NC
- NPI 1720849391
-
dba Forest City Family Care
- Rural Health Clinic/Center
- Forest City, NC
- NPI 1750068219
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Psychiatric Hospital Unit
- Rutherfordton, NC
- NPI 1487743340
Member Of
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Lifepoint Holdings 2 LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 97% |
| Pamela Kane | Corporate Officer | Jul 1, 2023 | |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 97% |
| Laura C Hinson | Corporate Officer | Mar 12, 2025 | |
| Lifepoint Hospitals Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 97% |
| DLP Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 100% |
| Historic Lifepoint Hospitals, LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 97% |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 97% |
| DLP Rutherford Regional Health System, LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 100% |
| Charlotte E Lawrence | Corporate Officer | Jul 1, 2023 | |
| DLP Partner LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 97% |
| Klaus Michael Boel | Corporate Officer | Aug 19, 2024 | |
| W-2 Managing Employee | Aug 19, 2024 | ||
| John Michael Grooms | Corporate Officer | Jul 1, 2023 | |
| Christopher J Monte | Corporate Officer | Jul 1, 2023 | |
| Legacy Lifepoint Health LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 97% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Rutherford Regional Health System
- General Acute Care Hospital
- Rutherfordton, NC
- NPI 1245321181
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital Unit
- Rutherfordton, NC
- NPI 1487743340
5% Or Greater Direct Ownership Interest
Facilities with the same owner 202
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Central Carolina Hospital
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Family Care South
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1003508367
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Community Family Care
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1073204715
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1174208813
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Women's Health Center
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1518642255
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Broadway, NC
- NPI 1578254215
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Gynecology and Aesthetics
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1790568046
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1275557654
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- Psychiatric Hospital Unit
- Hickory, NC
- NPI 1659393932
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Harris Regional Hospital
- General Acute Care Hospital
- Sylva, NC
- NPI 1407962046
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
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.
-
- Physician Assistant
- Campobello, SC
- NPI 1306536172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1912684473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7000",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 COMMERCIAL DR STE B",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280432801",
"telephone_number": "828-287-9325",
"fax_number": "828-287-3594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DLP RUTHERFORD PHYSICIAN PRACTICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rutherford Children's Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rutherford Children's Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Forest City, NC
- Directcare Community Base Services,LLC
- Directcare Community Based Services, LLC
- Directcare Community Based Services,LLC
- DLP Rutherford Physician Practices LLC (Chase Family Care)
- DLP Rutherford Physician Practices LLC (Forest City Family Care)
- DLP Rutherford Physician Practices LLC
- DLP Rutherford Regional Health System, LLC (Rutherford Wound Care & Hyperbarics)
- DLP Rutherford Regional Health System, LLC (OneSource Rehab)
- DLP Rutherford Regional Health System, LLC (Rutherford Children's Care)
- DLP Rutherford Regional Health System, LLC (Carolina Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.