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MERRYWOOD
NPI 1043514920
Assisted Living Facility in Charlotte, NC

Active since January 06, 2011CLIA 34D2172187 · Waiver
3600 PARK RD, CHARLOTTE, NC 28209(704) 523-4949 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Merrywood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERRYWOOD (NPI 1043514920) is a healthcare organization registered as an assisted living facility in Charlotte, North Carolina and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Bryan Hudson, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1043514920
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKAPSON SENIOR QUARTERS CORP.
Location Address3600 PARK RDCharlotte, NC 28209-4102
Mailing Address3600 Park RdCharlotte, NC 28209-4102 · (704) 523-4949
Phone(704) 523-4949
Organization SubpartYes
Authorized OfficialBryan HudsonGeneral Counsel · (502) 779-7683
Enumeration DateJanuary 6, 2011
✔ NPI 1043514920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3600 PARK RD, Charlotte, NC 28209
Open in Google Maps ↗

Other Names 1

Doing Business AsMerrywood

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2172187

Merrywood On Park · Charlotte, NC
Active · expires Sep 16, 2027
CLIA Number34D2172187
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorJewell Watson
Laboratory Phone(704) 523-4949
Laboratory LocationMerrywood On Park3600 Park Road, Charlotte, NC 28209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA A. BLANKENBURG OT
Occupational Therapist
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 527-4343
SETH BAIRD COTA/L
Occupational Therapy Assistant
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 527-4343
HERNAN VALVERDE
Physical Therapy Assistant
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 769-5087
CHRIS PAUL VETRONE PTA
Physical Therapy Assistant
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 709-5004
SARAH APPLE KINGSLEY PT, DPT
Physical Therapist
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (980) 999-4533
DR. PARKER HAWKS PT, DPT
Physical Therapist
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 413-4931
JENNA L LLEWELLYN
Speech-Language Pathologist
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 413-4931
EMPOWERME REHABILITATION, LLC
Clinic/Center (Rehabilitation)
3600 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (877) 367-9772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kapson Senior Quarters Corp.'s NPI number?

The NPI number for Kapson Senior Quarters Corp. is 1043514920. It was assigned to this organization in the NPPES registry on January 6, 2011.

Where is Kapson Senior Quarters Corp. located?

Kapson Senior Quarters Corp. is located at 3600 Park Rd, Charlotte, NC 28209. The listed phone number is (704) 523-4949.

What is Kapson Senior Quarters Corp.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Kapson Senior Quarters Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2172187) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kapson Senior Quarters Corp. was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.