# THE CYPRESS OF CHARLOTTE CLUB INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467443945
- **Authorized official:** CATHERINE JENKINS (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (704) 714-5555

## Contact information

- **Practice address:** 6920 MARCHING DUCK DRIVE, CHARLOTTE, NC 28210-3288
- **Practice address phone:** (704) 714-5555
- **Practice address fax:** (704) 714-5556
- **Mailing address:** 3442 CYPRESS CLUB DR, CHARLOTTE, NC 28210-2467
- **Mailing address phone:** (704) 714-5500
- **Mailing address fax:** (704) 714-5501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0584 | NC | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 09/16/2026