IVY AT GASTONIA LLC
NPI 1699336776
Skilled Nursing Facility in Gastonia, NC

Active since June 27, 2019CLIA 34D0956051 · Waiver
1/5
Overall Rating
4414 WILKINSON BLVD, GASTONIA, NC 28056(305) 912-9260 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2025, Jul 23, 2020 (2 updates tracked since 2020).

About Ivy At Gastonia Llc NPPES

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

IVY AT GASTONIA LLC (NPI 1699336776) is a healthcare organization registered as a skilled nursing facility in Gastonia, North Carolina and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Chaim Hyman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699336776
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameIVY AT GASTONIA LLC
Location Address4414 WILKINSON BLVDGastonia, NC 28056-8271
Mailing Address9429 Harding Ave # 141Surfside, FL 33154-2803
Organization SubpartNo
Authorized OfficialChaim HymanCeo · (305) 912-9260
Enumeration DateJune 27, 2019
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1699336776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

4414 WILKINSON BLVD, Gastonia, NC 28056

Accepted Insurance

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 34D0956051

Ivy At Gastonia, The · Gastonia, NC
Active · expires Sep 8, 2026
CLIA Number34D0956051
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorMarjorie Massey
Laboratory Phone(704) 824-5550
Laboratory LocationIvy At Gastonia, The4414 Wilkinson Boulevard, Gastonia, NC 28056
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 2 out of 5 stars - Below Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 1 out of 5 stars - Much Below Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 3 out of 5 stars - Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 3 out of 5 stars - Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours1.79 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.48 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover57.1%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeFor profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds50 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day41 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents1 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints15 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties5 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines3 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$148,083.50
Total monetary amount of fine imposed on the facility in the last 3 years.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
4414 WILKINSON BLVD
GASTONIA, NC 28056
Skilled Nursing Facility
4414 WILKINSON BLVD
GASTONIA, NC 28056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699336776, enumerated as an "organization" on June 27, 2019.

The provider is located at 4414 WILKINSON BLVD GASTONIA, NC 28056 and the phone number is (305) 912-9260.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.