Organization Active NPI

2720 Charles Town Road Operations LLC

Doing business as Care Haven Center

  • Skilled Nursing Facility
  • Martinsburg, WV
National Provider Identifier
1053595355
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
177 Issued in WV
Legal business name
2720 CHARLES TOWN ROAD OPERATIONS LLC
Doing business as
Care Haven Center
Practice address
2720 Charles Town Rd
Martinsburg, WV 25405-5626
Phone
(304) 263-0933
Fax
(304) 264-0794
NPI assigned
Dec 21, 2007
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Michael T Berg
Title
Secretary
Phone
(610) 444-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 177 WV Primary

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 names 1

  • Care Haven Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110930000516 WV Part A Provider - Skilled Nursing Facility 9032296272 Practice locations: Martinsburg, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053595355. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Care Haven CenterCCN 515178 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
6866.8 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Laura Bridgeford Individual Corporate OfficerTreasurer Jun 1, 2024 100%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Feb 27, 2025
HCCF Management Group XI LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 10.8%
Gen Operations I LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Gen Operations II LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
FC Gen Operations Investment LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis WV Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2011 100%
Diane Louise Morris Individual Operational/Managerial ControlChain Home Office Administrator Oct 1, 2021
Miranda L Albaugh Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Feb 27, 2025
Genesis Operations LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Megan Heffner Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Feb 27, 2025
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5.2%
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 65.3%
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 5.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership InterestShareholder of Indirect Owner Feb 2, 2015 10.8%
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 52.24%
Zac Properties XI LLC Organization, Philadelphia, PA For-profit 5% Or Greater Indirect Ownership Interest Feb 2, 2015 8.48%
Steven E Fishman Individual 5% Or Greater Indirect Ownership InterestShareholder of Indirect Owner Feb 2, 2015 7.6%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024 100%
Michael T Berg Individual Corporate OfficerSecretary Mar 2, 2015 100%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Feb 27, 2025
GHC Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

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 176

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

View all 176

Practitioners & affiliated clinicians

Practitioners 1

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1053595355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 CHARLES TOWN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254055626",
            "telephone_number": "304-263-0933",
            "fax_number": "304-264-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2720 CHARLES TOWN ROAD OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Haven Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.