Homestead Hill Retirement Limited Partnership
Organization Active NPI Skilled Nursing Facility · Winston Salem, NC
NPI 1063759397 · NPPES record last updated Mar 26, 2013
Key facts
- NPI
- 1063759397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0633 (NC)
- Legal business name
- HOMESTEAD HILL RETIREMENT LIMITED PARTNERSHIP
- Practice address
- 2105 Homestead Hills Drive
Winston Salem, NC 27103-6787 - Phone
- (336) 659-0386
- Fax
- (336) 659-8506
- NPI assigned
- Jan 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Donald O. Thompson Jr.
- Title
- Manager
- Phone
- (704) 246-1620
Owners & managing parties with NPI records 1
Corporate family (same tax ID) 1
Facilities with the same owner 10
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- Homestead Hills
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 24, 2013
- Medicare certification status
- Active
- Certified beds
- 40 · 32.0 residents per day on average
- Chain
- Senior Living Communities
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345559
- Legal name
- HOMESTEAD HILL RETIREMENT LIMITED PARTNERSHIP
- Doing business as
- HOMESTEAD HILLS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 24, 2013
- Last certification
- May 8, 2025
- Beds
- 40
- Ownership / control type
- Corporation
- Multi-facility organization
- Senior Living Communities
- Organization structure
- Partnership · Proprietary
- Incorporated
- Apr 19, 1996 in NC
- Enrollment address
- 2105 Homestead Hills Dr
Winston Salem, NC 27103-6787 - Nursing home name
- HOMESTEAD HILLS
- Affiliated entity
- SENIOR LIVING COMMUNITIES
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin M. Thompson |
5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 25% |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Sera 4,LLC |
Limited Partnership Interest | Apr 16, 1996 | 99% |
| Joshua E. Thompson |
5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 25% |
| |
Adp of the SNF | Jan 23, 2025 | |
| Donald Thompson |
5% Or Greater Indirect Ownership Interest | Apr 19, 1996 | 50% |
| Venezela Thomas Slade-Hartman |
Adp of the SNF | Oct 23, 2025 | |
| Kennedy Wale |
Adp of the SNF | Oct 23, 2025 | |
| Kapson GP, LLC |
General Partnership Interest | Apr 16, 1996 | 1% |
| Senior Living Commuities LLC |
5% Or Greater Direct Ownership Interest | Apr 19, 1996 | 100% |
| Maxwell Group, Inc. |
Operational/Managerial Control | Jan 23, 2025 | |
| Adp of the SNF | Jan 23, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130322000069 | NC | Part a Provider - Skilled Nursing Facility | 1254576259 | Practice locations: Winston Salem, NC |
National Provider Directory
- Tax ID family
- Dba Homestead Hills
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-034-023 | NC | |
| Skilled Nursing Facility | 314000000X | NH0633 | NC | Yes |
Addresses
Primary practice location
2105 Homestead Hills Drive
Winston Salem, NC 27103-6787
Mailing address
2105 Homestead Hills Drive
Winston Salem, NC 27103-6787
Phone (336) 659-0386
Other names
- Homestead Hills
Other providers in Winston Salem, NC
- Home Again Senior Living Communities, LLC
- Home Assisted Living Opportunities LLC
- Home Care Solutions of NC, LLC
- Home Health Professionals of Forsyth, Inc.
- Home Suite Home Care LLC
- Homestead Hills Retirement Limited Partnership
- Hometown Oxygen Winston Salem LLC
- Hometown Oxygen, Charlotte LLC
- Sylvester Homsy
- Benjamin Honeycutt
All providers in Winston Salem, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2013. 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.