Organization Active NPI

HCC - Healthcare of Charlotte, LLC

  • Skilled Nursing Facility
  • Charlotte, NC
National Provider Identifier
1992738009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0426 Issued in NC
Legal business name
HCC - HEALTHCARE OF CHARLOTTE, LLC
Practice address
333 Hawthorne LN
Charlotte, NC 28204-2433
Phone
(704) 372-1270
Fax
(704) 377-2059
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Louann Anstis
Title
Privacy Officer
Phone
(770) 619-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0426 NC Primary

Addresses

Primary practice location

333 Hawthorne LN
Charlotte, NC 28204-2433

Mailing address

925 N Point Pkwy
Suite 440
Alpharetta, GA 30005-5210
Phone (770) 619-0866

Other identifiers 1

IdentifierTypeStateIssuer
3465013MedicaidNC

Other names 1

  • Elizabeth Place Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992738009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY",
            "address_2": "SUITE 440",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055210",
            "telephone_number": "770-619-0866",
            "fax_number": "770-870-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042433",
            "telephone_number": "704-372-1270",
            "fax_number": "704-377-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC - HEALTHCARE OF CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANSTIS",
        "authorized_official_first_name": "LOUANN",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "770-619-0866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3465013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.