The Moses H. Cone Memorial Hospital Operating Corporation
Organization Active NPI Skilled Nursing Facility · Reidsville, NC
NPI 1407966864 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1407966864
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0614 (NC)
- Legal business name
- THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
- Practice address
- 618 S Main St
Reidsville, NC 27320-5020 - Phone
- (336) 951-6006
- Fax
- (336) 951-6033
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Elizabeth Sutherland Ward
- Title
- Cfo/Treasurer
- Phone
- (336) 832-7791
Owners & managing parties with NPI records 2
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 37
Facilities with the same owner 9
Practitioners 724
-
Angela Acevedo, PA
-
Richard Adami, CRNA
-
James G Adams, MD
-
Brian B Agbor-Etang, M.D.
-
Nadeem Akhtar, M.D.
-
Musa Akintayo, MD
-
Stephen Richard Alday, CRNA
-
Lauren Grant Allen, AGNP-C, DNP
-
Sandra Jean Allen, CRNA
-
Tina Lawson Allen, APRN
-
Latisha Alston, LPC
-
Michael Amyot, CRNA
-
Ugonna Ada Anyanwu, M.D.
-
Courtney Lynne Archambo, CRNA
-
Muhammad Arida, MD
-
James G Arnold, MD
-
Amanda Minter Auston, CRNA
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- Penn Nursing Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 2, 2004
- Medicare certification status
- Active
- Certified beds
- 82 · 71.4 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1028830 | Penn Nursing Center | Certificate of waiver | Aug 2, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345530
- Legal name
- THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
- Doing business as
- PENN NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 2, 2004
- Last certification
- Jan 30, 2025
- Beds
- 92 (82 certified)
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Cone Health
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 25, 1985 in NC
- Enrollment address
- 618-A S. Main Street
Reidsville, NC 27320-5020 - Nursing home name
- PENN NURSING CENTER
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| Ashley J Brandon |
Corporate Director | Oct 1, 2022 | |
| Trustee of the SNF | Oct 1, 2021 | ||
| Andrew Edward Barrow |
Corporate Officer |
Nov 5, 2012 | |
| Operational/Managerial Control | Nov 5, 2012 | ||
| Elise Carey |
Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| William McIvor |
Corporate Director | Oct 1, 2018 | |
| Trustee of the SNF | Oct 1, 2024 | ||
| Thomas D Stuckey |
Corporate Director | Oct 1, 2024 | |
| Trustee of the SNF | Oct 1, 2024 | ||
| The Moses H. Cone Memorial Hospital |
5% Or Greater Direct Ownership Interest | Apr 1, 2005 | 100% |
| Adp of the SNF | Apr 1, 2005 | ||
| Catherine Emily Fortney |
Corporate Director | Dec 1, 2024 | |
| Trustee of the SNF | Dec 1, 2024 | ||
| Thomas E Chandler |
Trustee of the SNF | Oct 1, 2023 | |
| Christopher Cornue |
Corporate Director | May 16, 2022 | |
| Trustee of the SNF | May 16, 2022 | ||
| Thomas Edward Cone |
Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Bernard J Sherry |
Corporate Officer |
Jun 1, 2025 | |
| John Miller |
Corporate Officer |
Jan 31, 2011 | |
| Trustee of the SNF | Jan 31, 2011 | ||
| David J French |
Corporate Director | Oct 1, 2023 | |
| Trustee of the SNF | Oct 1, 2023 | ||
| Benjamin K Chu |
Corporate Officer | Jun 13, 2025 | |
| Trustee of the SNF | Jun 13, 2025 | ||
| William B Hayes |
Corporate Director | Oct 1, 2018 | |
| Trustee of the SNF | Oct 1, 2018 | ||
| Raymond W Cooper |
Operational/Managerial Control | May 13, 2019 | |
| Adp of the SNF | Dec 11, 2025 | ||
| Robert B Carter |
Corporate Officer |
Oct 1, 2014 | |
| Trustee of the SNF | Oct 1, 2014 | ||
| Yun Boylston |
Corporate Director | Oct 1, 2018 | |
| Trustee of the SNF | Oct 1, 2018 | ||
| Arthur Vernon Stringer |
Corporate Director | Jan 1, 2022 | |
| Managing Control - Governing Body | Jan 1, 2022 | ||
| Trustee of the SNF | Jan 1, 2022 | ||
| Lenora R Campbell |
Corporate Director |
Oct 1, 2018 | |
| VI-Anne Antrum |
Corporate Director | Apr 18, 2019 | |
| Trustee of the SNF | Apr 18, 2019 | ||
| David Lawrence Kitzmiller |
Corporate Officer |
Jan 25, 1985 | |
| Trustee of the SNF | Jan 25, 1985 | ||
| Mae Douglas |
Corporate Director |
Oct 1, 2018 | |
| William F Hopper |
Operational/Managerial Control | Jan 2, 2018 | |
| Adp of the SNF | Dec 11, 2025 | ||
| Arthur Samet |
Corporate Director | Oct 1, 2021 | |
| Trustee of the SNF | Oct 1, 2021 | ||
| Jason R. Nelms |
Corporate Director | Oct 24, 2022 | |
| Trustee of the SNF | Oct 24, 2022 | ||
| Risant Health, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 100% |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Alamance Regional Medical Center Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060320000213 | NC | Part a Provider - Skilled Nursing Facility | 6204744600 | Practice locations: Reidsville, NC |
National Provider Directory
- Tax ID family
- Moses Cone Memorial Hos
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0614 | NC | Yes |
Addresses
Primary practice location
618 S Main St
Reidsville, NC 27320-5020
Mailing address
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805805 | Other | NC | PARTNERS |
| 3405530 | Medicaid | NC |
Other names
- Penn Nursing Center
Other providers in Reidsville, NC
- The McInnis Clinic PLLC
- The Mental Health Association in North Carolina, Inc.
- The Moses H Cone Memorial Hospital Operating Corporation
- The Moses H Cone Memorial Hospital Operating Corporation
- The Moses H Cone Memorial Hospital Operating Corporation
- Therapeutic Community Resources Inc
- Brittney Talia Thomas
- Jennifer Thomas
- Latoya Lenore Thurston-Griggs
- Jane Allen Tilley
All providers in Reidsville, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.