Organization Active NPI

Greens at Viewmont LLC

  • Skilled Nursing Facility
  • Hickory, NC
National Provider Identifier
1255070306
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREENS AT VIEWMONT LLC
Practice address
220 13TH Avenue PL NW
Hickory, NC 28601-2532
Phone
(828) 328-5646
Fax
(828) 329-6189
NPI assigned
May 27, 2022
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Jacob Stern
Title
Ceo
Phone
(513) 830-5342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

220 13TH Avenue PL NW
Hickory, NC 28601-2532

Mailing address

15 America Ave Unit 304
Lakewood, NJ 08701-4582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220922002155 NC Part A Provider - Skilled Nursing Facility 2769867035 Practice locations: Hickory, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255070306. Details of each certification follow.

Skilled nursing facility certification: CCN 345080

Legal name
GREENS AT VIEWMONT LLC
Doing business as
THE GREENS AT VIEWMONT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1977
Last certification
May 1, 2025
Beds
104
Ownership / control type
Limited Liability Corporation
Multi-facility organization
CCH
Organization structure
LLCProprietary
Incorporated
May 24, 2022 in NC
Enrollment address
220 13TH Avenue PL NW
Hickory, NC 28601-2532
Nursing home name
THE GREENS AT VIEWMONT
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Greens at ViewmontCCN 345080 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10487.0 residents per day on average
Chain
CCH Healthcare33 facilities in the chain
Penalties (3 years)
3Fines totaling $34,597

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
34D0677342Greens at Viewmont, the220 13TH Avenue Place NW, Hickory, NC 28601Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Johnny Poovey Individual W-2 Managing EmployeeAdministrator Jul 1, 2022 100%
Capital Holdings Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Jul 1, 2022 47%
Baruch Jeremias Individual 5% Or Greater Indirect Ownership InterestManager Jul 1, 2022 50%
Corporate DirectorManager Jul 1, 2022 50%
Bync Holdings LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Starlight Healthcare LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2022 50%
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Jul 1, 2022 50%
Jacob Stern Individual 5% Or Greater Indirect Ownership InterestManager Jul 1, 2022 50%
Corporate OfficerPresident and Sole Officer Jul 1, 2022 100%
Corporate DirectorManager Jul 1, 2022 50%

Facilities with the same owner 55

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

View all 55

Practitioners & affiliated clinicians

Practitioners 3

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 4

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": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1255070306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE UNIT 304",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 13TH AVENUE PL NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012532",
            "telephone_number": "828-328-5646",
            "fax_number": "828-329-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENS AT VIEWMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-830-5342"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.