NPIMap

Organization Active NPI

Homestead Hill Retirement Limited Partnership

Doing business as Homestead Hills

  • Skilled Nursing Facility
  • Winston Salem, NC
National Provider Identifier
1063759397
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0633 Issued in NC
Legal business name
HOMESTEAD HILL RETIREMENT LIMITED PARTNERSHIP
Doing business as
Homestead Hills
Practice address
2105 Homestead Hills Drive
Winston Salem, NC 27103-6787
Phone
(336) 659-0386
Fax
(336) 659-8506
NPI assigned
Jan 7, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Mr. Donald O. Thompson Jr.
Title
Manager
Phone
(704) 246-1620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-034-023 NC
Skilled Nursing Facility 314000000X NH0633 NC Primary

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 1

  • Homestead Hills Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130322000069 NC Part A Provider - Skilled Nursing Facility 1254576259 Practice locations: Winston Salem, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063759397. Details of each certification follow.

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
PartnershipProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Homestead HillsCCN 345559 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
4032.0 residents per day on average
Chain
Senior Living Communities9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Dba Homestead Hills2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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
Benjamin M. Thompson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2021 25%
Operational/Managerial Control Jul 1, 2022
Sera 4,LLC Organization, Charlotte, NC LLC, Owned by another organization or individual Limited Partnership Interest Apr 16, 1996 99%
Joshua E. Thompson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2021 25%
Organization, Murfreesboro, TN Real estate investment trust (REIT) Adp of the SNF Jan 23, 2025
Donald Thompson Individual 5% Or Greater Indirect Ownership Interest Apr 19, 1996 50%
Venezela Thomas Slade-Hartman Individual Adp of the SNF Oct 23, 2025
Kennedy Wale Individual Adp of the SNF Oct 23, 2025
Kapson GP, LLC Organization, Charlotte, NC LLC, Owned by another organization or individual General Partnership Interest Apr 16, 1996 1%
Senior Living Commuities LLC Organization, Charlotte, NC LLC 5% Or Greater Direct Ownership Interest Apr 19, 1996 100%
Maxwell Group, Inc. Organization, Charlotte, NC Management services company Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025

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 10

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

Practitioners & affiliated clinicians

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1063759397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HOMESTEAD HILLS DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036787",
            "telephone_number": "336-659-0386",
            "fax_number": "336-659-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HOMESTEAD HILLS DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036787",
            "telephone_number": "336-659-0386",
            "fax_number": "336-659-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HILL RETIREMENT LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-246-1620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-034-023",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.