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KERR LAKE NURSING AND REHABILITATION CENTER
NPI 1669657755
Nursing Facility/Intermediate Care Facility in Henderson, NC

Active since January 08, 2008CLIA 34D0675078 · Waiver
3/5
Overall Rating
1245 PARK AVE, HENDERSON, NC 27536(252) 492-7021(252) 492-2985 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, May 18, 2021 (2 updates tracked since 2021).

About Kerr Lake Nursing And Rehabilitation Center NPPES

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

KERR LAKE NURSING AND REHABILITATION CENTER (NPI 1669657755) is a healthcare organization registered as a nursing facility/intermediate care facility in Henderson, North Carolina and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Norwood Randolph Uzzell, President, as its authorized official.

NPPES Registry Identity

NPI1669657755
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameEAGLE PEAK LTC GROUP, LLC
Location Address1245 PARK AVEHenderson, NC 27536-4025
Mailing AddressPo Box 1148Henderson, NC 27536-1148 · (252) 492-7021 · Fax (252) 492-2985
Phone(252) 492-7021
Fax(252) 492-2985
Organization SubpartNo
Authorized OfficialNorwood Randolph UzzellPresident · (252) 523-9094
Enumeration DateJanuary 8, 2008
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1669657755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in NC · NH0353
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1245 PARK AVE, Henderson, NC 27536
Open in Google Maps ↗

Other Names 1

Doing Business AsKerr Lake Nursing And Rehabilitation Center

Other Identifiers 2

Medicaid7803814NC
Medicaid7806629NC

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 34D0675078

Eagle Peak Ltc Group, LLC Dba Kerr Lake Nursing And Rehab Center · Henderson, NC
Active · expires Aug 31, 2026
CLIA Number34D0675078
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLisa Johnson
Laboratory Phone(919) 492-7021
Laboratory LocationEagle Peak Ltc Group, LLC Dba Kerr Lake Nursing And Rehab Center1245 Park Avenue, Henderson, NC 27536
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Kerr Lake Nursing And Rehabilitation Center (CMS certification number 345321), from CMS Care Compare.

Kerr Lake Nursing And Rehabilitation Center

Nursing home · Henderson, NC
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number345321
Certified Beds92 beds68 residents per day on average
Medicare & Medicaid Participant SinceJuly 13, 1990
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
34.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.34 · LPN 1.22 · RN 0.68
4.24 hrs per resident per day
Weekend Nurse Staffing
3.68 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
31.6%
Registered Nurse Turnover
45.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
0
Fines
2 totaling $32,269.25
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 7

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

BRITTHAVEN, INC.
Nursing Facility/Intermediate Care Facility
1245 PARK AVE
HENDERSON, NC 27536
Vance County (252) 492-7021
CHRISTINE AMBROSIA CARMAN OTR/L
Occupational Therapist
1245 PARK AVE
HENDERSON, NC 27536
Vance County (252) 492-7021
MS. ALEXANDRA BROOME HOYLE PT, DPT
Physical Therapist
1245 PARK AVE
HENDERSON, NC 27536
Vance County (252) 492-7021
MRS. JESSICA COMBS PTA
Physical Therapy Assistant
1245 PARK AVE
HENDERSON, NC 27536
Vance County (252) 492-7021
MEGHAN EALY OTR/L
Occupational Therapist
1245 PARK AVE
HENDERSON, NC 27536
Vance County (252) 492-7021
EAGLE PEAK LTC GROUP, LLC
Skilled Nursing Facility
1245 PARK AVE
HENDERSON, NC 27536
Vance County (252) 492-7021
KATHERINE INGRAM SLP
Speech-Language Pathologist
1245 PARK AVE
HENDERSON, NC 27536
Vance County (252) 492-7021

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 Eagle Peak Ltc Group, LLC's NPI number?

The NPI number for Eagle Peak Ltc Group, LLC is 1669657755. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is doing business as Kerr Lake Nursing And Rehabilitation Center.

Where is Eagle Peak Ltc Group, LLC located?

Eagle Peak Ltc Group, LLC is located at 1245 Park Ave, Henderson, NC 27536. The listed phone number is (252) 492-7021.

What is Eagle Peak Ltc Group, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Eagle Peak Ltc Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0675078) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Eagle Peak Ltc Group, LLC a Medicare-certified nursing home?

Yes. Kerr Lake Nursing And Rehabilitation Center is a Medicare-certified nursing home with 92 certified beds.

What quality rating does Eagle Peak Ltc Group, LLC have?

CMS rates Kerr Lake Nursing And Rehabilitation Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Eagle Peak Ltc Group, LLC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.