NPIMap

Organization Active NPI

Baptist Retirement Homes of North Carolina Incorporated

  • Skilled Nursing Facility
  • Winston Salem, NC
National Provider Identifier
1295723377
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0056 Issued in NC
Legal business name
BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED
Practice address
1199 Hayes Forest Dr
Winston-Salem, NC 27106-3377
Phone
(336) 759-1044
Fax
(336) 759-7389
NPI assigned
Oct 12, 2005
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Cindy Wald
Title
Controller
Phone
(336) 725-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NH0056 NC
Skilled Nursing Facility 314000000X NH0056 NC Primary

Addresses

Primary practice location

1199 Hayes Forest Dr
Winston-Salem, NC 27106-3377

Mailing address

PO Box 11024
Winston Salem, NC 27116-1024
Phone (336) 725-0202

Other identifiers 1

IdentifierTypeStateIssuer
3405209MedicaidNC

Other names 1

  • Brookridge Retirement Community Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071011000100 NC Part B Supplier - Clinic/Group Practice 9133038581 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Asheville, NC; Winston Salem, NC
O20110106000378 NC Part A Provider - Skilled Nursing Facility 9133038581 Practice locations: Winston-Salem, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295723377. Details of each certification follow.

Skilled nursing facility certification: CCN 345209

Legal name
BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED
Doing business as
BROOKRIDGE RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 1, 1981
Last certification
May 9, 2024
Beds
113 (77 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Thrivemore
Organization structure
CorporationNon-profit
Incorporated
May 30, 1951 in NC
Enrollment address
1199 Hayes Forest Drive
Winston-Salem, NC 27106-3377
Nursing home name
BROOKRIDGE RETIREMENT COMMUNITY

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brookridge Retirement CommunityCCN 345209 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7763.8 residents per day on average

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
34D2122107Brookridge Retirement Community1199 Hayes Forest Drive, Winston-Salem, NC 27106Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Baptist Retirement Homes of North Carolina Incorporated4 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.

Ownership & 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.

NameRoleSinceShare
Mary a Marshbanks Individual Corporate Director Jan 1, 2011
Clarence R Lambe Individual Corporate Director Jan 1, 2011
Jeannine M Richman Individual Corporate OfficerChief Financial Officer Aug 20, 2018
William Edward Wood Individual W-2 Managing Employee Nov 16, 2010
Ralph Sylvester Morgan Individual Corporate DirectorCorporate Secretary Jan 1, 2011
Phillip Feagan Individual Corporate Director Nov 16, 2010
Betsy Herman Individual Corporate Director Jan 1, 2013
Michael Taylor Individual Corporate DirectorVice Chair Nov 16, 2010
Mary Davis Individual Corporate Director Nov 16, 2010
Brady Wilson Dickson Individual Corporate Director Nov 16, 2010
William Bernard Stillerman Individual Corporate Director Nov 16, 2010
W-2 Managing Employee Nov 16, 2010
David Brooks Individual Corporate Director Jan 1, 2012
Jeffrey Hobart Individual Corporate Director Nov 16, 2010
Al Lynwood Lyerly Individual Corporate Director Nov 16, 2010
Wendy B Roberson Individual Corporate Director Jan 1, 2014
Richard Murray Individual Corporate Director Jan 1, 2013
Kenneth Amburn Individual Corporate Director Jan 1, 2014
Henry Skinner Individual Corporate Director Nov 16, 2010
Scott B Rogers Individual Corporate Director Jan 1, 2014
Grady Starks Individual Corporate Director Jan 1, 2012
Karen Barksdale Individual Corporate DirectorChair Jan 1, 2012
Baptist Retirement Homes of North Carolina Incorporated Organization, Winston-Salem, NC Operational/Managerial Control Nov 16, 2010
Artrice Martin Individual W-2 Managing Employee Nov 16, 2010

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Gardens of Taylor GlenConcord, NC, CCN 345525 Skilled nursing facility Operational/Managerial Control Mar 11, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1295723377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11024",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271161024",
            "telephone_number": "336-725-0202",
            "fax_number": "336-725-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HAYES FOREST DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271063377",
            "telephone_number": "336-759-1044",
            "fax_number": "336-759-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "336-725-0300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0056",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405209",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookridge Retirement Community",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.