Active NPI
Charlotte Opco Holdings, LLC
- Adult Care Home Facility
- Charlotte, NC
National Provider Identifier
1982151650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- CHARLOTTE OPCO HOLDINGS, LLC
- Practice address
- 4815 N Sharon Amity Rd
Charlotte, NC 28205-4669 - Phone
- (704) 531-0948
- NPI assigned
- Sep 9, 2016
- 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
- Charles E Trefzger
- Title
- Manager
- Phone
- (828) 322-5535
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL060149 | NC | |
| Adult Care Home Facility | 311ZA0620X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
4815 N Sharon Amity Rd
Charlotte, NC 28205-4669
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Phone (828) 322-5535
Other names 1
- East Towne
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2130359 | East Towne | Certificate of waiver | May 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
4815 N Sharon Amity Rd
Charlotte, NC 28205
Phone (704) 315-2919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1982151650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2568",
"city": "HICKORY",
"state": "NC",
"postal_code": "286032568",
"telephone_number": "828-322-5535",
"fax_number": "828-326-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 N SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282054669",
"telephone_number": "704-531-0948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE OPCO HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-09",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "TREFZGER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "828-322-5535"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "HAL060149",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East Towne",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "East Towne",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- Charlotte Obstetric and Gynecological Associates
- Charlotte Obstetric and Gynecological Associates
- Charlotte Obstetric and Gynecological Associates
- Charlotte One More Go Physical Therapy & Wellness LLC
- Charlotte One on One Physical Therapy
- Charlotte Operating Al, LLC
- Charlotte Operator LLC
- Charlotte Optometric Clinic, PA
- Charlotte Optometry Center, O.D., PLLC
- Charlotte Optometry Group PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.