Active NPIOrganization

Randolph Gardens Opco LLC

Skilled Nursing Facility in Charlotte, North Carolina

NPI Number1962052498
Practice location
4801 Randolph RD, Charlotte, NC 28211-2921
Fax
—
Last updated
February 19, 2026

Randolph Gardens Opco LLC is a healthcare organization based in Charlotte, NC. Randolph Gardens Opco LLC practices in Charlotte, NC. The NPI Number for Randolph Gardens Opco LLC is 1962052498. The current practice location address for Randolph Gardens Opco LLC is 4801 Randolph RD, Charlotte, NC 28211-2921 and can be reached out via phone at 704-364-8363.

Provider Profile Details

NPI Number
1962052498
Provider Name
Randolph Gardens Opco LLC
Provider Entity Type
Organization
Address
4801 Randolph RD, Charlotte, NC 28211-2921
Phone Number
704-364-8363
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Naftali Zanziper · President · 917-297-7658
Other Names
Randolph Gardens Health And Rehabilitation (Doing Business As)
Pelican Health Randolph LLC (Former Legal Business Name)
Provider Enumeration Date
September 17, 2019
Last Update Date
February 19, 2026
Certification Date
February 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4801 Randolph RD
Charlotte, NC 28211-2921
Zip
28211-2921
Phone Number
704-364-8363
Charlotte, NC 28211Get directions →

Provider Business Mailing Address Details

Address
980 Sylvan Ave
Englewood Cliffs, NJ 07632-3315
City
Englewood Cliffs
State
NJ
Zip
07632-3315

License Information

Taxonomy (1)
Respite Care · 385H00000X
Taxonomy (2)
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randolph Gardens Opco LLC?

The NPI number of Randolph Gardens Opco LLC is 1962052498. It was assigned on September 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Randolph Gardens Opco LLC?

Randolph Gardens Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Randolph Gardens Opco LLC practice?

The practice location is 4801 Randolph RD, Charlotte, NC 28211-2921. The office can be reached at 704-364-8363 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962052498 directly on the NPPES registry website.

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