NPIMap

Organization Active NPI

Herbert J Thomas Memorial Hospital Association

Doing business as Thomas Hospitals Skilled Nursing Unit

  • Skilled Nursing Facility
  • Charleston, WV
National Provider Identifier
1104681014
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Thomas Hospitals Skilled Nursing Unit
Practice address
333 Laidley St
Charleston, WV 25301-1614
Phone
(304) 347-6500
Fax
(304) 347-6885
NPI assigned
Feb 20, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Rachel Stephanie Jones
Title
Cfo
Phone
(304) 766-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

333 Laidley St
Charleston, WV 25301-1614

Mailing address

PO Box 744145
Atlanta, GA 30384-2907
Phone (804) 267-4670

Other names 1

  • Thomas Hospitals Skilled Nursing Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619001828 WV Part A Provider - Skilled Nursing Facility 9931162104 Practice locations: Charleston, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104681014. Details of each certification follow.

Skilled nursing facility certification: CCN 515110

Legal name
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
THOMAS HOSPITALS SKILLED NURSING UNIT
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 15, 1991
Last certification
Oct 12, 2022
Beds
29
Ownership / control type
Nonprofit Corporation
Multi-facility organization
West Virginia University Hospitals, Inc.
Organization structure
CorporationNon-profit
Enrollment address
333 Laidley St
Charleston, WV 25301-1614
Nursing home name
THOMAS HOSPITALS SKILLED NURSING UNIT
Affiliated entity
WVU MEDICINE

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Thomas Hospitals Skilled Nursing UnitCCN 515110 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Apr 15, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2916.6 residents per day on average
Chain
Wvu Medicine7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Rodney Dean MD PLLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

1095 Fledderjohn Rd
Charleston, WV 25314
Phone (304) 345-4674

331 Laidley St
Ste 503
Charleston, WV 25301
Phone (304) 205-7912

333 Laidley St
#4E
Charleston, WV 25301

333 Laidley St
Fl 4
Charleston, WV 25301

333 Laidley St
Ste 100
Charleston, WV 25301
Phone (304) 347-6680

400 Court St
Ste 201A
Charleston, WV 25301
Phone (304) 347-6165

500 Donnally St
Charleston, WV 25301
Phone (304) 340-2222

500 Donnally St
Ste 203B
Charleston, WV 25301
Phone (304) 347-6700

500 Donnally St
Ste 300
Charleston, WV 25301
Phone (304) 343-8846

301 Washington Ave
Ste 4
Dunbar, WV 25064
Phone (304) 759-6050

34 River Walk Mall
South Charleston, WV 25303
Phone (304) 766-3589

401 Division St
South Charleston, WV 25309
Phone (304) 414-6863

4501 Maccorkle Ave SW
Fl 2
South Charleston, WV 25309
Phone (304) 766-3988

4501 Maccorkle Ave SW
Fl 4
South Charleston, WV 25309
Phone (304) 766-3988

4507 Maccorkle Ave SW
Ste 201
South Charleston, WV 25309
Phone (304) 768-7770

4507 Maccorkle Ave SW
Ste 301
South Charleston, WV 25309
Phone (304) 767-7919

11924 Winfield Rd
Winfield, WV 25213
Phone (304) 306-3060

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Albert Wright Individual Corporate DirectorPres & Ceo of Sole Corp Member May 1, 2024
Kishore K Challa Individual Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
Ashley C Pack Individual Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
James G Rosencrance Individual Corporate OfficerBoard Member May 1, 2024
Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
John Epperly Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Mark a Robinson Individual Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
Jaime Lynn Meeks Individual Adp of the SNF May 1, 2024
Craig H Slaughter Individual Corporate Officer May 1, 2024
Corporate Director1St Vice Chair / Board Member May 1, 2024
Operational/Managerial Control May 1, 2024
Terrell a Ellis Individual Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
Paul Breedlove Individual Corporate DirectorBoard Member May 1, 2024
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Chain home office 5% Or Greater Direct Ownership Interest May 1, 2024 100%
Operational/Managerial Control May 1, 2024
Lyle John Fairless Individual Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
George Barker Individual Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
David Sayre Individual Corporate OfficerBoard Member May 1, 2024
Corporate DirectorBoard Member, 2ND Vice Chair/Sec May 1, 2024
Operational/Managerial Control May 1, 2024
Paige Francisco Individual Corporate OfficerAdministrator Aug 5, 2024
Operational/Managerial Control Aug 5, 2024
Adp of the SNF Aug 5, 2024
Baker Tilly Advisory Group LP Organization, Madison, WI Consulting firm Adp of the SNF Aug 15, 2024
Matthew D Stover Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Jason Gizzi Individual Corporate OfficerChief Financial Officer May 1, 2024
Operational/Managerial Control May 1, 2024
Donald X Higgs Individual Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
Stephen E Kawash Individual Corporate OfficerBoard Member May 1, 2024
Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024
Susan Lavenski Individual Corporate DirectorBoard Member May 1, 2024
Angela a Mayfield Individual Corporate OfficerBoard Member May 1, 2024
Corporate DirectorBoard Member May 1, 2024
Operational/Managerial Control May 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 52

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

View all 52

Practitioners & affiliated clinicians

Practitioners 10

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 1

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1104681014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842907",
            "telephone_number": "804-267-4670",
            "fax_number": "804-267-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAIDLEY ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011614",
            "telephone_number": "304-347-6500",
            "fax_number": "304-347-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-766-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Hospitals Skilled Nursing Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.