BRIGHTON GARDENS OF CHARLOTTE
NPI 1912052622
Assisted Living Facility in Charlotte, NC

Active since January 24, 2007CLIA 34D0992093 · Waiver
6000 PARK AVESOUTH, CHARLOTTE, NC 28210(704) 643-1400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brighton Gardens Of Charlotte NPPES

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

BRIGHTON GARDENS OF CHARLOTTE (NPI 1912052622) is a healthcare organization registered as an assisted living facility in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Christopher Terry, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912052622
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRIME CARE ONE, LLC
Location Address6000 PARK AVESOUTHCharlotte, NC 28210
Mailing Address6000 Park Ave SouthCharlotte, NC 28210 · (704) 643-1400
Organization SubpartNo
Authorized OfficialChristopher TerryExecutive Director · (704) 643-1400
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1912052622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NC · HAL-060-019
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.
6000 PARK AVESOUTH, Charlotte, NC 28210

Other Names 1

Doing Business AsBrighton Gardens Of Charlotte

Other Identifiers 1

Medicaid7804059NC

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 34D0992093

Brighton Gardens Of Charlotte · Charlotte, NC
Active · expires Oct 7, 2027
CLIA Number34D0992093
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorJennifer Gorcyzyca
Laboratory Phone(704) 643-1400
Laboratory LocationBrighton Gardens Of Charlotte6000 Park South Drive, Charlotte, NC 28210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prime Care One, LLC's NPI number?

The NPI number for Prime Care One, LLC is 1912052622. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Brighton Gardens Of Charlotte.

Where is Prime Care One, LLC located?

Prime Care One, LLC is located at 6000 Park Avesouth, Charlotte, NC 28210. The listed phone number is (704) 643-1400.

What is Prime Care One, LLC's specialty?

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

Does Prime Care One, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0992093) is associated with this NPI, valid through October 7, 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 Prime Care One, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.