Organization Active NPI

1631 Ritter Drive Operations LLC

Doing business as Raleigh Center

  • Skilled Nursing Facility
  • Daniels, WV
National Provider Identifier
1063696243
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116 Issued in WV
Legal business name
1631 RITTER DRIVE OPERATIONS LLC
Doing business as
Raleigh Center
Practice address
1631 Ritter Dr
Daniels, WV 25832-9264
Phone
(304) 769-3051
Fax
(304) 763-2865
NPI assigned
Dec 24, 2007
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 116 WV Primary

Addresses

Primary practice location

1631 Ritter Dr
Daniels, WV 25832-9264

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other names 1

  • Raleigh Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000025 WV Part A Provider - Skilled Nursing Facility 3476630781 Practice locations: Daniels, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063696243. Details of each certification follow.

Skilled nursing facility certification: CCN 515088

Legal name
1631 RITTER DRIVE OPERATIONS LLC
Doing business as
RALEIGH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 30, 1989
Last certification
Aug 29, 2024
Beds
68
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Aug 16, 2007 in WV
Enrollment address
1631 Ritter Dr
Daniels, WV 25832-9264
Nursing home name
RALEIGH CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Raleigh CenterCCN 515088 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 30, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6864.6 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

Locations

1631 Ritter Dr
Daniels, WV 25832
Phone (304) 763-0351

Ownership & related parties

All disclosed owners & managing parties 25

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
Mustafa Rahim Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Organization, Hewlett, NY For-profit Adp of the SNF Mar 24, 2025
HCCF Management Group XI LLC Organization, Alpharetta, GA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 10.8%
Gen Operations I LLC Organization, Kennett Square, PA 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 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, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2015 100%
Diane Louise Morris Individual Operational/Managerial ControlChain Home Office Administrator Dec 23, 2023
Adp of the SNF Dec 27, 2023
Keith Sexton Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
FC-Gen Operations Investment LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis Operations LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Organization, Kennett Square, PA LLC Adp of the SNF Mar 24, 2025
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 5.2%
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, 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, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 65.3%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership InterestN/a Nov 15, 2022 10.8%
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 52.24%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 7.6%
Steven E Fishman Individual 5% Or Greater Indirect Ownership InterestN/a Nov 15, 2022 7.6%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024
Michael T Berg Individual Corporate OfficerSecretary Mar 2, 2015
Organization, Kennett Square, PA LLC Adp of the SNF Mar 24, 2025
Welltower Inc Organization, Toledo, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2024 5.2%
GHC Holdings LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis Holdings LLC Organization, Kennett Square, PA 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 177

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

View all 177

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 2

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1063696243",
    "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": "1631 RITTER DR",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329264",
            "telephone_number": "304-769-3051",
            "fax_number": "304-763-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1631 RITTER DRIVE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "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": "116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daniels, WV

Sources for this page

Verify at the official NPI Registry.