Organization Active NPI

River Neuse Group, LLC

Doing business as Greendale Forest Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Snow Hill, NC
National Provider Identifier
1063458958
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0373 Issued in NC
Legal business name
RIVER NEUSE GROUP, LLC
Doing business as
Greendale Forest Nursing and Rehabilitation Center
Practice address
1304 SE 2ND St
Snow Hill, NC 28580-2014
Phone
(252) 747-8126
Fax
(252) 747-7491
NPI assigned
Jun 21, 2006
Last updated
Jul 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 NH0373 NC Primary

Addresses

Primary practice location

1304 SE 2ND St
Snow Hill, NC 28580-2014

Mailing address

PO Box 677
Snow Hill, NC 28580-0677
Phone (252) 747-8126

Other identifiers 3

IdentifierTypeStateIssuer
00901OtherNCBC/BS OF NC
3405366MedicaidNC
3415366MedicaidNC

Other names 1

  • Greendale Forest Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110412000892 NC Part A Provider - Skilled Nursing Facility 3870774060 Practice locations: Snow Hill, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063458958. Details of each certification follow.

Skilled nursing facility certification: CCN 345366

Legal name
RIVER NEUSE GROUP, LLC
Doing business as
GREENDALE FOREST NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 13, 1991
Last certification
Mar 27, 2025
Beds
132 (115 certified)
Ownership / control type
Corporation
Multi-facility organization
Principle Long Term Care
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
1304Se2Nd St
Snow Hill, NC 28580-2014
Nursing home name
GREENDALE FOREST NURSING AND REHABILITATION CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greendale Forest Nursing and Rehabilitation CenterCCN 345366 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 13, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
115105.3 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain
Penalties (3 years)
2Fines totaling $18,132

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
34D0246578River Neuse Group, LLC1304 SE 2ND St, Snow Hill, NC 28580Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Britthaven of Washington46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

1304 SE Second St
Snow Hill, NC 28580
Phone (252) 747-8126

Ownership & related parties

All disclosed owners & managing parties 10

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 Interest Jan 1, 2011 18.47%
Robert O'Neil Hill Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2011 20.6%
Stephen Britt Hill Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2011 20.02%
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Dianne Johnson Individual Corporate OfficerTreasurer Jan 1, 2011
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
Ramesh L Krishnaraj Individual Managing Control - Governing Body Jan 1, 2025
Adp of the SNF May 16, 2025
Caroline Mumford Individual Operational/Managerial Control Mar 29, 2021
Adp of the SNF May 16, 2025
Principle It Services, Inc. Organization, Kinston, NC Corporation 5% Or Greater Direct Ownership Interest Jan 28, 2011 50%
Anthony Abela Individual Operational/Managerial Control Nov 1, 2024
Managing Control - Governing Body Nov 1, 2024

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 2

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 3

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1063458958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285800677",
            "telephone_number": "252-747-8126",
            "fax_number": "252-747-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SE 2ND ST",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285802014",
            "telephone_number": "252-747-8126",
            "fax_number": "252-747-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER NEUSE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-07-16",
        "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": "NC",
            "license": "NH0373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "00901",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405366",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415366",
            "state": "NC"
        }
    ],
    "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"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greendale Forest Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greendale Forest Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snow Hill, NC

Sources for this page

Verify at the official NPI Registry.