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: August 09, 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 Ratings CMS Care Compare

Quality ratings, staffing and inspection history for The Ivy At Gastonia LLC (CMS certification number 345307), from CMS Care Compare.

The Ivy At Gastonia LLC

Nursing home · Gastonia, NC
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number345307
Certified Beds50 beds41 residents per day on average
Medicare & Medicaid Participant SinceAugust 9, 1989
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.
1/5
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.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
172
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 1.79 · LPN 1.11 · RN 0.48
3.38 hrs per resident per day
Weekend Nurse Staffing
2.88 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.9%
Registered Nurse Turnover
57.1%
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
1
Substantiated Complaints
15
Infection-Control Citations
0
Fines
3 totaling $148,083.50
Medicare Payment Denials
2
Total Penalties
5
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 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 NPPES & CMS

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

What is Ivy At Gastonia LLC's NPI number?

The NPI number for Ivy At Gastonia LLC is 1699336776. It was assigned to this organization in the NPPES registry on June 27, 2019.

Where is Ivy At Gastonia LLC located?

Ivy At Gastonia LLC is located at 4414 Wilkinson Blvd, Gastonia, NC 28056. The listed phone number is (305) 912-9260.

What is Ivy At Gastonia LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ivy At Gastonia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0956051) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ivy At Gastonia LLC a Medicare-certified nursing home?

Yes. The Ivy At Gastonia LLC is a Medicare-certified nursing home with 50 certified beds.

What quality rating does Ivy At Gastonia LLC have?

CMS rates The Ivy At Gastonia LLC 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Ivy At Gastonia LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Ivy At Gastonia LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivy At Gastonia LLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.