Organization Active NPI

Hanging Rock LTC, LLC

Doing business as Somerwoods Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Somerset, KY
National Provider Identifier
1033145529
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100499 Issued in KY
Legal business name
HANGING ROCK LTC, LLC
Doing business as
Somerwoods Nursing and Rehabilitation Center
Practice address
555 Bourne Ave
Somerset, KY 42501-1915
Phone
(606) 679-7421
Fax
(606) 677-0794
NPI assigned
Jun 25, 2006
Last updated
Aug 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gale Boice
Title
Cfo
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100499 KY Primary

Addresses

Primary practice location

555 Bourne Ave
Somerset, KY 42501-1915

Mailing address

555 Bourne Ave
Somerset, KY 42501-1915
Phone (606) 679-7421

Other identifiers 2

IdentifierTypeStateIssuer
12501375MedicaidKY
7100169450MedicaidKY

Other names 1

  • Somerwoods Nursing and Rehabilitation Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000463 KY Part A Provider - Skilled Nursing Facility 6608057724 Practice locations: Somerset, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033145529. Details of each certification follow.

Skilled nursing facility certification: CCN 185152

Legal name
HANGING ROCK LTC, LLC
Doing business as
SOMERWOODS NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 11, 1978
Last certification
Feb 21, 2025
Beds
166
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hanging Rock LTC, LLC
Most recent change of ownership
Jan 1, 2011
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
555 Bourne Ave
Somerset, KY 42501-1915
Nursing home name
SOMERWOODS REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Somerwoods Rehabilitation and Healthcare CenterCCN 185152 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 11, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
166116.2 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0673252Hanging Rock LTC, LLC Dba555 Bourne Avenue, Somerset, KY 42501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

39 Ferndale Apartments Rd
Pineville, KY 40977
Phone (606) 337-1364

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raymond Gregg Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 18.47%
Adp of the SNF Jan 1, 2011
Robert O'Neil Hill Individual 5% Or Greater Indirect Ownership InterestOwner Jan 1, 2011 20.6%
Adp of the SNF Jan 1, 2011
Stephen Britt Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 20.02%
Adp of the SNF Jan 1, 2011
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Adp of the SNF Mar 5, 2018
Dianne Johnson Individual Corporate OfficerTreasurer Jan 1, 2011
Robert G Drake Individual Adp of the SNF Sep 1, 2021
Principle Long Term Care, Inc. Organization, Kinston, NC Management services company, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%
Operational/Managerial Control Jan 1, 2011 50%
Brian Jaggers Individual Operational/Managerial Control Jan 1, 2011
Adp of the SNF Jul 1, 2025
Principle It Services, Inc. Organization, Kinston, NC Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1033145529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BOURNE AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011915",
            "telephone_number": "606-679-7421",
            "fax_number": "606-677-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BOURNE AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011915",
            "telephone_number": "606-679-7421",
            "fax_number": "606-677-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANGING ROCK LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-08-12",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "BOICE",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-523-9094"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501375",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100169450",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Somerwoods Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Somerwoods Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.