NPIMap

Organization Active NPI

Wellmont Health System

  • Skilled Nursing Facility
  • Norton, VA
National Provider Identifier
1114102191
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WELLMONT HEALTH SYSTEM
Practice address
100 15TH St NW
Norton, VA 24273-1616
Phone
(276) 439-1000
Fax
(276) 679-9011
NPI assigned
Jan 8, 2008
Organization subpart
No

Owners & managing parties with NPI records 9

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

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 8

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

Facilities with the same owner 40

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

View all 40

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Norton Community Hospital SNF UnitCCN 495374
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
447.6 residents per day on average
Penalties (3 years)
1Fines totaling $10,400

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130221000084 VA Part A Provider - Skilled Nursing Facility 2567360704 Practice locations: Norton, VA

Skilled nursing facility certification: CCN 495374

Legal name
WELLMONT HEALTH SYSTEM
Doing business as
NORTON COMMUNITY HOSPITAL SNF UNIT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2004
Last certification
Apr 29, 2021
Beds
44
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Ballad Health
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1996 in TN
Enrollment address
100 15TH St NW
Norton, VA 24273-1616
Nursing home name
NORTON COMMUNITY HOSPITAL SNF UNIT

All disclosed owners & managing parties 10

Medicare enrollment files

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

NameRoleSinceShare
Shannon Showalter Individual Operational/Managerial Control Apr 26, 2021
Adp of the SNF Jan 31, 2025
Shane Hilton Individual Corporate OfficerEvp/Cfo Apr 4, 2024
Corporate DirectorEvp/Cfo Apr 4, 2024
Gregory Wilgocki Individual Corporate DirectorSVP Feb 1, 2018
Wellmont Health System Organization, Kingsport, TN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2007 100%
Adp of the SNF Apr 1, 2004
Ballad Health Organization, Johnson City, TN Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Feb 1, 2018 100%
Adp of the SNF Jan 31, 2025
Marvin Eichorn Individual Corporate OfficerEvp/Cao Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Buford Deaton Individual Corporate OfficerEvp/Coo Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Alan Levine Individual Corporate OfficerCeo/President Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Julie Bennett Individual Corporate OfficerEvp/Clo Feb 1, 2023
Corporate DirectorBoard Member Feb 1, 2023
Brian S Newberry Individual Operational/Managerial Control Apr 1, 2004
Adp of the SNF Jan 31, 2025

All facility ownership & control disclosures 9

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hawkins County Memorial HospitalRogersville, TN, CCN 440032 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 6, 2000
Bristol Regional Medical CenterBristol, TN, CCN 440012 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1996
Lonesome Pine HospitalBig Stone Gap, VA, CCN 490114 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Lonesome Pine Hospital Swing Bed UnitBig Stone Gap, VA, CCN 49U114 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 19, 2007
Dickenson Community Hospital, Inc.Clintwood, VA, CCN 491303 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2021
Greeneville Community HospitalGreeneville, TN, CCN 440050 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 8, 2016
Norton Community Rehabilitaion UnitNorton, VA, CCN 49T114 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Dickenson Community Hospital Psychiatric UnitClintwood, VA, CCN 49M303 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2021
Bhrhc DickensonClintwood, VA, CCN 493463 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2021

National Provider Directory

National Provider Directory
Tax ID family
Wllmnt Bristol PK Blvd25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Mrs. Shane Edwin Hilton
Title
Evp/Cfo
Phone
(423) 302-3467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 15TH St NW
Norton, VA 24273-1616

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Phone (276) 679-9116

Other names 1

  • NORTON COMMUNITY HOSPITAL SNF UNIT Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other WELLMONT HEALTH SYSTEM
CONNECT URL https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1114102191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PRINCETON RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012026",
            "telephone_number": "276-679-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 15TH ST NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731616",
            "telephone_number": "276-439-1000",
            "fax_number": "276-679-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "423-302-3467",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1340.1",
            "affiliationName": "WELLMONT HEALTH SYSTEM",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1.5, 1.6",
            "address_1": "310 3rd St NE",
            "city": "Norton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242731137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1340.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1.5, 1.6",
            "address_1": "100 15th St NW",
            "city": "Norton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242731616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NORTON COMMUNITY HOSPITAL SNF UNIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.