Elizabeth City Health and Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0040 Issued in NC

Legal business name

ELIZABETH CITY HEALTH AND REHABILITATION, LLC

Practice address

1075 US Highway 17 S
Elizabeth City, NC 27909-7628

Phone

(252) 338-7101

Fax

(252) 338-0039

NPI assigned

Dec 31, 2015

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952766271. Details of each certification follow.

• CCN 345036 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345036

Legal name

ELIZABETH CITY HEALTH AND REHABILITATION, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 13, 1967

Last certification

Apr 5, 2024

Beds

170

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

Oct 27, 2015 in NC

Enrollment address

1075 US Highway 17 S
Elizabeth City, NC 27909-7628

Nursing home name

ELIZABETH CITY HEALTH AND REHABILITATION

Affiliated entity

SANSTONE HEALTH & REHABILITATION

Listed as

Elizabeth City Health and RehabilitationCCN 345036 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Feb 13, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

170150.8 residents per day on average

Chain

Sanstone Health & Rehabilitation18 facilities in the chain

Penalties (3 years)

2Fines totaling $77,760

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Elizabeth City Health and Rehabilitation LLC2 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.

• Carolina Adventist Retirement Systems Inc

  dba W R Winslow Memorial Home

  • Skilled Nursing Facility
  • Elizabeth City, NC
  • NPI 1730184102
  NPD tax ID

All disclosed owners & managing parties 3

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

Practitioners 3

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.

• Thomas Vaughn Giguiere, M.D.

  • Family Medicine Physician
  • Elizabeth City, NC
  • NPI 1932468980
  NPD (past)
• Jeffrey F Severa, DO

  • Internal Medicine Physician
  • Edenton, NC
  • NPI 1215928403
  NPD (past)
• Craig S Hayek, MD

  • Family Medicine Physician
  • Bedford, VA
  • NPI 1720053358
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Thomas Vaughn Giguiere, M.D.

  • Family Medicine Physician
  • Elizabeth City, NC
  • NPI 1932468980

  Nursing home

  Care Compare affiliation
• Craig S Hayek, MD

  • Family Medicine Physician
  • Bedford, VA
  • NPI 1720053358

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1952766271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 AIRPORT RD",
            "address_2": "SUITE 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": "1075 US HIGHWAY 17 S",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097628",
            "telephone_number": "252-338-7101",
            "fax_number": "252-338-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CITY HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "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": "NC",
            "license": "NH0040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415036",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LINCESE NUMBER",
            "identifier": "NH0040",
            "state": "NC"
        }
    ],
    "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": []
}

• Eastern Dermatology & Pathology
• Ecsu Student Health Services
• Edward B Eadie Jr MD Womens Urology
• Alexis Vikketta Edwards, FNP-BC
• Christopher Noel Edwards, LCSW
• Elizabeth City Orthopedic Surgery Center
• Elizabeth City Pasquotank Public Schools
• Elizabeth City State University Student Health Services Pharmacy
• John Daniel Elliott, D.O.
• Patrice Ellis

• Skilled Nursing Facility in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Skilled Nursing Facility in North Carolina

• 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.

Verify at the official NPI Registry.