Active NPI
825 Summit Street Operations LLC
Doing business as Miletree Center
- Skilled Nursing Facility
- Spencer, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 132
- Legal business name
- 825 SUMMIT STREET OPERATIONS LLC
- Doing business as
- Miletree Center
- Practice address
- 825 Summit St
Spencer, WV 25276-1035 - Phone
- (304) 927-1007
- Fax
- (304) 927-5830
- NPI assigned
- Dec 24, 2007
- Last updated
- May 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T Berg
- Title
- Secretary
- Phone
- (610) 444-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 132 | WV | Primary |
Addresses
Primary practice location
825 Summit St
Spencer, WV 25276-1035
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other names 1
- Miletree Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080411000370 | WV | Part A Provider - Skilled Nursing Facility | 5395822530 | Practice locations: Spencer, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265616445. Details of each certification follow.
Skilled nursing facility certification: CCN 515182
- Legal name
- 825 SUMMIT STREET OPERATIONS LLC
- Doing business as
- MILETREE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 2002
- Last certification
- Jul 11, 2024
- Beds
- 62
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis
- Organization structure
- LLC
- Incorporated
- Aug 16, 2007 in WV
- Enrollment address
- 825 Summit St
Spencer, WV 25276-1035 - Nursing home name
- MILETREE CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Miletree Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 2002
- Medicare certification status
- Active
- Certified beds
- 62
- Chain
- Genesis Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Jun 1, 2024 | |
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 14.73% |
| Christiana Starcher | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 9, 2025 | ||
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis WV Holdings LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis Operations LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Carroll D Christiansen | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 9, 2025 | ||
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5.81% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 52.24% |
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 5.7% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 17.42% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 52.24% |
| Adp of the SNF | Feb 9, 2025 | ||
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 8.48% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 11.15% |
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Mar 2, 2015 | |
| Adp of the SNF | Feb 9, 2025 | ||
| GHC Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Spencer, WV
- NPI 1801898861
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 176
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Marmet Center
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Valley Center
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Heritage Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1912181223
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Ansted Center
- Skilled Nursing Facility
- Ansted, WV
- NPI 1639353816
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Tygart Center at Fairmount Campus
- Skilled Nursing Facility
- Fairmont, WV
- NPI 1578709341
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Pierpont Center at Fairmont Campus
- Skilled Nursing Facility
- Fairmont, WV
- NPI 1396981064
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Welltower Op, LLC, Zac
-
dba Madison Center
- Skilled Nursing Facility
- Morgantown, WV
- NPI 1073797387
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Raleigh Center
- Skilled Nursing Facility
- Daniels, WV
- NPI 1063696243
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Ravenswood Village
- Skilled Nursing Facility
- Ravenswood, WV
- NPI 1124202304
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Sistersville Center
- Skilled Nursing Facility
- Sistersville, WV
- NPI 1831373026
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Care Haven Center
- Skilled Nursing Facility
- Martinsburg, WV
- NPI 1053595355
Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundanc
-
dba Cedar Ridge Center
- Skilled Nursing Facility
- Sissonville, WV
- NPI 1689858987
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Spencer, WV
- NPI 1801898861
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": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1265616445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 SUMMIT ST",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761035",
"telephone_number": "304-927-1007",
"fax_number": "304-927-5830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "825 SUMMIT STREET OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "610-444-6350"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miletree Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Spencer, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.