NPIMap

Organization Active NPI

Lutheran Home- Albemarle, Inc.

Doing business as Trinity Place

  • Skilled Nursing Facility
  • Albemarle, NC
National Provider Identifier
1215931977
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0140 Issued in NC
Legal business name
LUTHERAN HOME- ALBEMARLE, INC.
Doing business as
Trinity Place
Practice address
24724 S Business 52
Albemarle, NC 28001-8179
Phone
(704) 982-8191
Fax
(704) 983-1118
NPI assigned
Jun 10, 2005
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Kesha Smith
Title
Coo
Phone
(704) 754-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0140 NC Primary

Addresses

Primary practice location

24724 S Business 52
Albemarle, NC 28001-8179

Mailing address

24724 S Business 52
Albemarle, NC 28001-8179
Phone (704) 982-8191

Other identifiers 2

IdentifierTypeStateIssuer
3415109MedicaidNC
00888OtherNCBCBS PROVIDER NUMBER

Other names 1

  • Trinity Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000456 NC Part A Provider - Skilled Nursing Facility 8729041454 Practice locations: Albemarle, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215931977. Details of each certification follow.

Skilled nursing facility certification: CCN 345109

Legal name
LUTHERAN HOME- ALBEMARLE, INC.
Doing business as
TRINITY PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 4, 1973
Last certification
Oct 10, 2024
Beds
88 (76 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Lutheran Services of the Carolinas
Organization structure
CorporationNon-profit
Incorporated
Jul 27, 2004 in NC
Enrollment address
24724 Hwy 52 South
Albemarle, NC 28001-8179
Nursing home name
TRINITY PLACE
Affiliated entity
LUTHERAN SERVICES CAROLINAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Trinity PlaceCCN 345109 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 4, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7668.3 residents per day on average
Chain
Lutheran Services Carolinas9 facilities in the chain
Penalties (3 years)
1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Home Albemarle4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

24724 S Business 52
Albemarle, NC 28001
Phone (704) 982-8191

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Kesha L Smith Individual Corporate DirectorCoo Oct 1, 2012
Operational/Managerial ControlCof Oct 1, 2012
Adp of the SNF Oct 1, 2012
Richard Herman Individual Managing Control - Governing BodyBoard Vice President Jun 1, 2021
Trustee of the SNF Sep 1, 2022
Lutheran Home Albemarle Property Inc. Organization, Salisbury, NC Corporation, Non-profit Operational/Managerial Control Apr 5, 1988
Adp of the SNF Apr 13, 2025
Ted W Goins Individual Operational/Managerial Control Oct 1, 2004
Managing Control - Governing BodyPresident Oct 1, 2004
Trustee of the SNF Nov 4, 2004
Eric T Gabriel Individual Operational/Managerial Control Jun 3, 2022
Adp of the SNF Jun 3, 2022
Akiko Omura Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Douglas E Nelson Individual Managing Control - Governing BodyBoard Chair Sep 21, 2022
Karen Maddry Individual Corporate OfficerCorporate Secretary Apr 30, 2007
Lutheran Services for the Aging, Inc. Organization, Salisbury, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2004 100%
Operational/Managerial Control Oct 1, 2004
Trustee of the SNF Oct 1, 2004
Direct Ownership Interest Oct 1, 2004 100%
Kirby Nickerson Individual Corporate OfficerCfo Oct 1, 2012
Operational/Managerial Control Oct 1, 2012
Adp of the SNF Jun 25, 2012
Lsa Management, Inc. Organization, Salisbury, NC Corporation, Non-profit, Chain home office Operational/Managerial Control Oct 1, 2004 100%
Adp of the SNF Apr 13, 2025

Owners & managing parties with NPI records 1

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

  • Akiko Omura, MD
    • Physical Medicine & Rehabilitation Physician
    • Winston Salem, NC
    • NPI 1437108610

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 8

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1215931977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24724 S BUSINESS 52",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018179",
            "telephone_number": "704-982-8191",
            "fax_number": "704-983-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24724 S BUSINESS 52",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018179",
            "telephone_number": "704-982-8191",
            "fax_number": "704-983-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME- ALBEMARLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-754-8222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415109",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "00888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.