NPIMap

Organization Active NPI

Nash Hospitals Inc

  • Community Based Hospice Care Agency
  • Rocky Mount, NC
National Provider Identifier
1174590137
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HC0393 Issued in NC
Legal business name
NASH HOSPITALS INC
Practice address
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone
(252) 962-8030
Fax
(252) 962-8397
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Mr. Shawn Hartley
Title
Cfo
Phone
(252) 962-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HC0393 NC Primary

Addresses

Primary practice location

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237

Mailing address

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8124

Other practice location 1

111 Nash Medical Arts Mall
Rocky Mount, NC 27804
Phone (252) 962-8030

Other identifiers 2

IdentifierTypeStateIssuer
3401510MedicaidNC
0023TOtherNCBLUE CROSS

Other names 1

  • Hospice and Palliative Care of Nash Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109001016 NC Part A Provider - Hospice 4284521568 Practice locations: Rocky Mount, NC

Hospice certification: CCN 341510

Legal name
NASH HOSPITALS INC
Doing business as
HOSPICE AND PALLIATIVE CARE OF NASH GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 31, 1986
Last certification
Jul 21, 2021
Ownership / control type
Combination Government and Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Dec 4, 1968 in NC
Enrollment address
2416 Professional Dr
Rocky Mount, NC 27804-2253

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice and Palliative Care of Nash General HospitalCCN 341510
Ownership
Combination Government & Non-Profit
Certified
Oct 31, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Nash General Hospital Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

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
Hursel Mike Johnson Individual Corporate DirectorBoard Member Jan 6, 2022
Christopher Ryan Griffin Individual W-2 Managing EmployeeAdministrative Director Hospice Jun 17, 2025
John Allen Corbett Individual Corporate DirectorBoard Member Jan 9, 2025
Susan Thurman Leggett Individual Corporate DirectorBod Aug 1, 2016
Anne Marie Shriner Individual Corporate OfficerCmo Sep 30, 2019
Kenneth Darnell Arrington Individual Corporate DirectorBoard Member Jan 5, 2023
William Melvin Lehnes Individual Corporate DirectorBoard Member of Nash Unc Health Car Jan 1, 2016
Shelia Gibbs Wallace Individual Corporate DirectorBoard Member Mar 1, 2018
Brian Haywood Brantley Individual Corporate DirectorBoard Member Jan 5, 2023
Larry Isley Individual Corporate OfficerCeo Apr 9, 2018
University of North Carolina Health Care System Organization, Morrisville, NC Operational/Managerial Control Apr 1, 2014
Terri Winstead Sharpe Individual Corporate DirectorBoard Member Jan 5, 2023
Kristen Dawn Brabble Individual Corporate DirectorBoard Member Jan 1, 2024
Mary Elliott Strickland Individual Corporate OfficerCno -Interim May 28, 2023
Kevin Brandon Jones Individual Corporate DirectorBoard Member Jan 6, 2022
Tamica Michelle Gray Individual Corporate DirectorBoard Member Jan 4, 2024
Shawn Gregory Hartley Individual Corporate OfficerCfo Apr 9, 2018
Lourdes Teresa Benitez-Concepcion Individual Corporate DirectorMedical Director for Hospice Sep 16, 2024
Gwendolyn Wilkins Individual Corporate DirectorBoard Member Oct 3, 2024
Marshall Dean High Individual Corporate DirectorBoard Member Oct 1, 2023
David a Browder Individual Corporate DirectorBoard Member Jan 6, 2022
Stephen Joseph Barnes Individual Corporate DirectorBoard Member Jan 9, 2025

Owners & managing parties with NPI records 6

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

Facilities with the same owner 43

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

View all 43

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1174590137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042237",
            "telephone_number": "252-962-8124",
            "fax_number": "252-962-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042237",
            "telephone_number": "252-962-8030",
            "fax_number": "252-962-8397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Nash Medical Arts Mall",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "27804",
            "country_code": "US",
            "telephone_number": "252-962-8030",
            "fax_number": "252-962-8397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NASH HOSPITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-962-8076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC0393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401510",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0023T",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hospice and Palliative Care of Nash",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.