Huntersville Health & Rehab Center
13835 Boren Street, Huntersville, NC 28078


Huntersville Health & Rehab Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 345570. The address is 13835 Boren Street, Huntersville, NC 28078. The zip code is 28078. The phone number is 7049122222.


Huntersville Health & Rehab Center · 13835 Boren Street, Huntersville, NC 28078

Federal Provider Number 345570
Provider Name HUNTERSVILLE HEALTH & REHAB CENTER
Address 13835 BOREN STREET
HUNTERSVILLE, NC 28078
Phone Number 7049122222
SSA County Code 590
County Name Mecklenburg
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 2
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HUNTERSVILLE H & R OPS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare Medicaid Services 06/27/2016
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating Footnote Too New to Rate
Health Inspection Rating Footnote Too New to Rate
Quality Measure Rating Footnote Too New to Rate
Staffing Rating Footnote Too New to Rate
RN Staffing Rating Footnote Too New to Rate
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 2.44079
Expected LPN Staffing Hours per Resident per Day 0.78158
Expected RN Staffing Hours per Resident per Day 1.37789
Expected Total Nurse Staffing Hours per Resident per Day 4.60025
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Huntersville Health & Rehab Center

Owner Name Role Association Date
BARNETTE, CYNTHIA (Individual) OFFICER since 01/08/2013
CHAMPNEY, AMANDA (Individual) MANAGING EMPLOYEE since 03/15/2016
CHAMPNEY, AMANDA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/23/2015
FIELD, JASON (Individual) OFFICER since 04/01/2015
FRALIN, WILLIAM (Individual) DIRECTOR since 01/08/2013
FRALIN, WILLIAM (Individual) OFFICER since 01/08/2013
G. WAYNE FRALIN TRUST U/W HG FRALIN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 01/08/2013
G. WAYNE FRALIN TRUST U/W HG FRALIN (Organization) PARTNERSHIP INTEREST since 01/08/2013
GRAEFF, QUINN (Individual) OFFICER since 01/08/2013
HARDEN, SABRINA (Individual) OFFICER since 02/16/2015
HELMER, KEITH (Individual) OFFICER since 01/08/2013
HUNTERSVILLE H & R OPS LIMITED PARTNERSHIP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/08/2013
KAREN HOLLY WALDRON TRUST DATED OCTOBER 25, 2000 (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 01/08/2013
KAREN HOLLY WALDRON TRUST DATED OCTOBER 25, 2000 (Organization) PARTNERSHIP INTEREST since 01/08/2013
KAY LEIGH FERGUSON TRUST U/W OF ANN HUFF FRALIN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
since 01/08/2013
KAY LEIGH FERGUSON TRUST U/W OF ANN HUFF FRALIN (Organization) PARTNERSHIP INTEREST since 01/08/2013
KROBOTH, CAROL (Individual) OFFICER since 01/08/2013
MARSHALL, TIMOTHY (Individual) OFFICER since 04/01/2015
MARTIN, CLAUDE (Individual) DIRECTOR since 01/08/2013
MARTIN, CLAUDE (Individual) OFFICER since 01/08/2013
MEDICAL FACILITIES OF NORTH CAROLINA INC (Organization) PARTNERSHIP INTEREST since 01/08/2013
MOORE, BRENDA (Individual) OFFICER since 01/08/2013
ONETO, THOMAS (Individual) OFFICER since 01/08/2013
PUTNEY, TODD (Individual) OFFICER since 01/08/2013
SELZLER, RONALD (Individual) OFFICER since 01/08/2013
W HEYWOOD FRALIN 2012 REVOCABLE TRUST U/A/D 12/28/12 (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
since 01/08/2013
W HEYWOOD FRALIN 2012 REVOCABLE TRUST U/A/D 12/28/12 (Organization) PARTNERSHIP INTEREST since 01/08/2013
WALDRON, KAREN (Individual) DIRECTOR since 01/08/2013
WALDRON, KAREN (Individual) OFFICER since 01/08/2013
WEST, THOMAS (Individual) OFFICER since 01/08/2013
WOOD, JACQUELINE (Individual) OFFICER since 01/08/2013

street_number: 13835
route: Boren Street (Boren St)
locality, political: Huntersville
admin_level_3, political: 15, Huntersville
admin_level_2, political: Mecklenburg County
admin_level_1, political: North Carolina (NC)
country, political: United States (US)
postal_code: 28078
types : street_address
latitude: 35.4017397
longitude: -80.8662793
latlng: (35.4017397, -80.8662793)


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