2720 Charles Town Road Operations LLC
Organization Active NPI Skilled Nursing Facility · Martinsburg, WV
NPI 1053595355 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1053595355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 177 (WV)
- Legal business name
- 2720 CHARLES TOWN ROAD OPERATIONS LLC
- Practice address
- 2720 Charles Town Rd
Martinsburg, WV 25405-5626 - Phone
- (304) 263-0933
- Fax
- (304) 264-0794
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael T Berg
- Title
- Secretary
- Phone
- (610) 444-6350
Owners & managing parties with NPI records 1
Facilities with the same owner 178
Practitioners 1
Affiliated clinicians 5
-
Julio A Enriquez Torres, ARNP
-
Louie Kosegi Jr., FNP
-
Kelly M Rice, MSW, LCSW
Medicare Care Compare: Nursing home
- Listed as
- Care Haven Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 2002
- Medicare certification status
- Active
- Certified beds
- 68 · 66.8 residents per day on average
- Chain
- Genesis Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Skilled nursing facility certification: CCN 515178
- Legal name
- 2720 CHARLES TOWN ROAD OPERATIONS LLC
- Doing business as
- CARE HAVEN CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 2002
- Last certification
- Sep 6, 2024
- Beds
- 68
- Ownership / control type
- Corporation
- Multi-facility organization
- Cindat
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 16, 2007 in WV
- Enrollment address
- 2720 Charles Town Rd
Martinsburg, WV 25405-5626 - Nursing home name
- CARE HAVEN CENTER
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford |
Corporate Officer |
Jun 1, 2024 | 100% |
| |
Adp of the SNF | Feb 27, 2025 | |
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 10.8% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| FC Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis WV Holdings LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| Diane Louise Morris |
Operational/Managerial Control |
Oct 1, 2021 | |
| Miranda L Albaugh |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 27, 2025 | ||
| Genesis Operations LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Megan Heffner |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 27, 2025 | ||
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5.2% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 65.3% |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 5.7% |
| Arnold M Whitman |
5% Or Greater Indirect Ownership Interest |
Feb 2, 2015 | 10.8% |
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 52.24% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 8.48% |
| Steven E Fishman |
5% Or Greater Indirect Ownership Interest |
Feb 2, 2015 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
Jun 1, 2024 | 100% |
| Michael T Berg |
Corporate Officer |
Mar 2, 2015 | 100% |
| |
Adp of the SNF | Feb 27, 2025 | |
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110930000516 | WV | Part a Provider - Skilled Nursing Facility | 9032296272 | Practice locations: Martinsburg, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 177 | WV | Yes |
Addresses
Primary practice location
2720 Charles Town Rd
Martinsburg, WV 25405-5626
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150756000 | Medicaid | WV |
Other names
- Care Haven Center
Other providers in Martinsburg, WV
- 1St Americare LLC
- A Brighter Tomorrow Counseling ,LLC
- A Brighter Tomorrow LLC
- A Epiphany Home Health Care LLC
- A. Benavides, M.D., Inc.
- Aadvance Homecare
All providers in Martinsburg, WV · Skilled Nursing Facility in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.