Provider Demographics
NPI:1679731749
Name:PRESBYTERIAN HOME AT CHARLOTTE, INC.
Entity Type:Organization
Organization Name:PRESBYTERIAN HOME AT CHARLOTTE, INC.
Other - Org Name:SHARON TOWERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIGSBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-553-1670
Mailing Address - Street 1:5100 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-4768
Mailing Address - Country:US
Mailing Address - Phone:704-553-1670
Mailing Address - Fax:704-553-1877
Practice Address - Street 1:5100 SHARON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-4768
Practice Address - Country:US
Practice Address - Phone:705-553-1670
Practice Address - Fax:704-553-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0121314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility