NPIMap

Organization Active NPI

Spruce LTC Group, LLC

  • Skilled Nursing Facility
  • Albemarle, NC
National Provider Identifier
1235175175
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0462 Issued in NC
Legal business name
SPRUCE LTC GROUP, LLC
Practice address
33426 Old Salisbury Rd
Albemarle, NC 28001-8342
Phone
(704) 983-1195
Fax
(704) 982-0446
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Gale Boice
Title
Cfo
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0462 NC Primary

Addresses

Primary practice location

33426 Old Salisbury Rd
Albemarle, NC 28001-8342

Mailing address

PO Box 1250
33426 Old Salisbury Road
Albemarle, NC 28002-1250
Phone (704) 983-1195

Other identifiers 3

IdentifierTypeStateIssuer
3425146MedicaidNC
0096LOtherNCBLUE CROSS/BLUE SHIELD
3406509MedicaidNC

Other names 1

  • Bethany Woods Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000098 NC Part A Provider - Skilled Nursing Facility 7416138516 Practice locations: Albemarle, NC

Skilled nursing facility certification: CCN 345146

Legal name
SPRUCE LTC GROUP, LLC
Doing business as
BETHANY WOODS NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 19, 1975
Last certification
Dec 19, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Principle LTC
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
33426 Old Salisbury Road
Albemarle, NC 28001-8342
Nursing home name
BETHANY WOODS NURSING AND REHABILITATION CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethany Woods Nursing and Rehabilitation CenterCCN 345146
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 19, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180112.0 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0655266Spruce LTC, LLC33426 Old Salisbury Road, Albemarle, NC 28001Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ability Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Raymond Gregg Hill Individual 5% Or Greater Direct Ownership InterestOwner/Board Member Jan 1, 2011 18.47%
Adp of the SNF Jan 1, 2011
Direct Ownership Interest Jan 1, 2011 18.47%
Robert O'Neil Hill Individual 5% Or Greater Direct Ownership InterestOwner/Board Member Jan 1, 2011 20.6%
Adp of the SNF Jan 1, 2011
Direct Ownership Interest Jan 1, 2011 20.6%
Stephen Britt Hill Individual 5% Or Greater Direct Ownership InterestOwner/Board Member Jan 1, 2011 20.02%
Adp of the SNF Jan 1, 2011
Direct Ownership Interest Jan 1, 2011 20.02%
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Adp of the SNF Mar 5, 2018
Dianne Johnson Individual Corporate Officer Jan 1, 2011
Principle Long Term Care, Inc. Organization, Kinston, NC LLC, Management services company, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%
Operational/Managerial Control Jan 1, 2011
Adp of the SNF Jun 13, 2025
Kerriann Larmand Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyAdministrator Jan 1, 2025
Adp of the SNF Jan 1, 2025
Principle It Services, Inc. Organization, Kinston, NC Management services company 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%
Operational/Managerial Control Jan 1, 2011
Adp of the SNF Apr 8, 2025
Leonard David Saltzman Individual Managing Control - Governing BodyMedical Director Jan 1, 2017
Adp of the SNF Jan 1, 2017

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 43

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

View all 43

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1235175175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "address_2": "33426 OLD SALISBURY ROAD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280021250",
            "telephone_number": "704-983-1195",
            "fax_number": "704-982-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33426 OLD SALISBURY RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018342",
            "telephone_number": "704-983-1195",
            "fax_number": "704-982-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRUCE LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "BOICE",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-523-9094"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425146",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0096L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406509",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bethany Woods Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethany Woods Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.