Organization Active NPI

Wilkinson Care Center, Inc.

Doing business as Elderberry Health Care

  • Skilled Nursing Facility
  • Marshall, NC
National Provider Identifier
1265556294
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0479 Issued in NC
Legal business name
WILKINSON CARE CENTER, INC.
Doing business as
Elderberry Health Care
Practice address
415 Elderberry LN
Marshall, NC 28753-6369
Phone
(828) 252-1790
Fax
(828) 649-9348
NPI assigned
Mar 16, 2007
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Edward Eller
Title
Controller
Phone
(336) 998-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0479 NC Primary

Addresses

Primary practice location

415 Elderberry LN
Marshall, NC 28753-6369

Mailing address

PO Box 1678
Clemmons, NC 27012-1678
Phone (336) 998-5001

Other identifiers 3

IdentifierTypeStateIssuer
3405319MedicaidNC
3415319MedicaidNC
3406576MedicaidNC

Other names 1

  • Elderberry Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000072 NC Part A Provider - Skilled Nursing Facility 3173672581 Practice locations: Marshall, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265556294. Details of each certification follow.

Skilled nursing facility certification: CCN 345319

Legal name
WILKINSON CARE CENTER, INC.
Doing business as
ELDERBERRY HEALTH CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 14, 1990
Last certification
Aug 28, 2024
Beds
100 (80 certified)
Ownership / control type
Corporation
Multi-facility organization
Wilkinson Care Center, Inc
Organization structure
CorporationProprietary
Incorporated
Jun 27, 1994 in NC
Enrollment address
415 Elderberry Lane
Marshall, NC 28753-6369
Nursing home name
ELDERBERRY HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elderberry Health CareCCN 345319 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 14, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8069.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Wilkinson Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Charlotte Advance, Inc Organization, Advance, NC Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 100%
Direct Ownership Interest Jan 1, 2009 100%
Organization, Walnut Cove, NC LLC, Consulting firm, For-profit Adp of the SNF Jul 7, 2025
Elderberry of Marshall, LLC Organization, Marshall, NC Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2015 100%
Adp of the SNF Sep 1, 2015
Wilkinson Care Center, Inc. Organization, Advance, NC Corporation, For-profit Operational/Managerial Control Jan 1, 2009
Andrew T. Martin Individual Operational/Managerial Control Jul 25, 2022
Adp of the SNF Jul 25, 2022
Organization, Baltimore, MD LLC, For-profit Adp of the SNF Jul 7, 2025
Edward Eller Individual Corporate OfficerChief Financial Officer Jan 1, 2009
Operational/Managerial Control May 14, 1990
Adp of the SNF May 14, 1990
Karen S Cutshall Individual Operational/Managerial Control Oct 1, 1993
Adp of the SNF Oct 1, 1993
Tullock Management Company Organization, Clemmons, NC Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control May 14, 1990
Adp of the SNF Jul 7, 2025
James Martin Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2011 100%
Corporate Officer Feb 16, 1998 100%
Operational/Managerial Control Oct 1, 2011
Managing Control - Governing BodyPresident Oct 1, 2011
Adp of the SNF Oct 1, 2011
Indirect Ownership Interest Oct 1, 2011 100%
Organization, Hickory, NC LLC, Consulting firm, For-profit Adp of the SNF Jul 7, 2025
Organization, Marshall, NC Medical provider/supplier, Non-profit Adp of the SNF Jul 7, 2025

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1265556294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270121678",
            "telephone_number": "336-998-5001",
            "fax_number": "336-998-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ELDERBERRY LN",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536369",
            "telephone_number": "828-252-1790",
            "fax_number": "828-649-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "336-998-5001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405319",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415319",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406576",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderberry Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, NC

Sources for this page

Verify at the official NPI Registry.