NPIMap

Organization Active NPI

Granite Falls LTC, LLC

  • Skilled Nursing Facility
  • Robbinsville, NC
National Provider Identifier
1366487464
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0495 Issued in NC
Legal business name
GRANITE FALLS LTC, LLC
Practice address
811 Snowbird Rd
Robbinsville, NC 28771-8103
Phone
(828) 479-8421
Fax
(828) 479-4269
NPI assigned
Jun 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Karen G McDaniel, CPA
Title
Analyst
Phone
(252) 523-9094

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 4

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

Facilities with the same owner 43

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

View all 43

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.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Graham Healthcare and Rehabilitation CenterCCN 345355
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 5, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8056.9 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000047 NC Part a Provider - Skilled Nursing Facility 5799966727 Practice locations: Robbinsville, NC

Skilled nursing facility certification: CCN 345355

Medicare enrollment files
Legal name
GRANITE FALLS LTC, LLC
Doing business as
GRAHAM HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 5, 1991
Last certification
Dec 19, 2024
Beds
103 (80 certified)
Ownership / control type
Corporation
Multi-facility organization
Principle LTC
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
811 Snowbird Road
Robbinsville, NC 28771-8103
Nursing home name
GRAHAM HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

All disclosed owners & managing parties 9

Medicare enrollment files

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 Indirect Ownership InterestOwner/Board Member Jan 1, 2011 18.47%
Adp of the SNF Jan 1, 2011
Robert O'Neil Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 20.6%
Adp of the SNF Jan 1, 2011
Stephen Britt Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 20.02%
Adp of the SNF Jan 1, 2011
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Adp of the SNF Mar 5, 2018
Dianne Johnson Individual Corporate OfficerTreasurer Jan 1, 2011
Donna Stephens Individual Operational/Managerial Control Aug 4, 2025
Adp of the SNF Oct 7, 2025
Principle Long Term Care, Inc. Organization, Kinston, NC Management services company, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%
Operational/Managerial Control Jun 1, 2016
Principle It Services, Inc. Organization, Kinston, NC Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%
Lani N Stover Individual Adp of the SNF Aug 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Ability Network6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0495 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

811 Snowbird Rd
Robbinsville, NC 28771-8103

Mailing address

PO Box 1147
Robbinsville, NC 28771-1147
Phone (828) 479-8421

Other identifiers 7

NPPES NPI Registry
IdentifierTypeStateIssuer
7803622MedicaidNC
561370182OtherNCAARP
7806626MedicaidNC
3426252MedicaidNC
0086DOtherNCBC/BS OF NC
3425355MedicaidNC
3435355MedicaidNC

Other names 1

NPPES NPI Registry
  • Graham Healthcare and Rehabilitation Center Doing business as

Electronic endpoints 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2021.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1366487464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287711147",
            "telephone_number": "828-479-8421",
            "fax_number": "828-479-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SNOWBIRD RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718103",
            "telephone_number": "828-479-8421",
            "fax_number": "828-479-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE FALLS LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ANALYST",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803622",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "561370182",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806626",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3426252",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "0086D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425355",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435355",
            "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": "Graham Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graham Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robbinsville, NC

Sources for this page

Verify at the official NPI Registry.