NPIMap

Organization Active NPI

The Moses H. Cone Memorial Hospital Operating Corporation

Doing business as Penn Nursing Center

  • Skilled Nursing Facility
  • Reidsville, NC
National Provider Identifier
1407966864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0614 Issued in NC
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Doing business as
Penn Nursing Center
Practice address
618 S Main St
Reidsville, NC 27320-5020
Phone
(336) 951-6006
Fax
(336) 951-6033
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elizabeth Sutherland Ward
Title
Cfo/Treasurer
Phone
(336) 832-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0614 NC Primary

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 names 1

  • Penn Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000213 NC Part A Provider - Skilled Nursing Facility 6204744600 Practice locations: Reidsville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407966864. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jan 25, 1985 in NC
Enrollment address
618-A S. Main Street
Reidsville, NC 27320-5020
Nursing home name
PENN NURSING CENTER

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Penn Nursing CenterCCN 345530 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
8271.4 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
34D1028830Penn Nursing Center618 South Main St, Reidsville, NC 27320Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Fam Prac Ctr41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Ashley J Brandon Individual Corporate Director Oct 1, 2022
Trustee of the SNF Oct 1, 2021
Andrew Edward Barrow Individual Corporate OfficerCfo Nov 5, 2012
Operational/Managerial Control Nov 5, 2012
Elise Carey Individual Corporate Director Jan 1, 2025
Trustee of the SNF Jan 1, 2025
William McIvor Individual Corporate Director Oct 1, 2018
Trustee of the SNF Oct 1, 2024
Thomas D Stuckey Individual Corporate Director Oct 1, 2024
Trustee of the SNF Oct 1, 2024
The Moses H. Cone Memorial Hospital Organization, Greensboro, NC Corporation, Non-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2005 100%
Adp of the SNF Apr 1, 2005
Catherine Emily Fortney Individual Corporate Director Dec 1, 2024
Trustee of the SNF Dec 1, 2024
Thomas E Chandler Individual Trustee of the SNF Oct 1, 2023
Christopher Cornue Individual Corporate Director May 16, 2022
Trustee of the SNF May 16, 2022
Thomas Edward Cone Individual Corporate Director Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Bernard J Sherry Individual Corporate OfficerCeo Jun 1, 2025
John Miller Individual Corporate OfficerChief Investment Officer &Treasurer Jan 31, 2011
Trustee of the SNF Jan 31, 2011
David J French Individual Corporate Director Oct 1, 2023
Trustee of the SNF Oct 1, 2023
Benjamin K Chu Individual Corporate Officer Jun 13, 2025
Trustee of the SNF Jun 13, 2025
William B Hayes Individual Corporate Director Oct 1, 2018
Trustee of the SNF Oct 1, 2018
Raymond W Cooper Individual Operational/Managerial Control May 13, 2019
Adp of the SNF Dec 11, 2025
Robert B Carter Individual Corporate OfficerVice Pres and General Counsel Oct 1, 2014
Trustee of the SNF Oct 1, 2014
Yun Boylston Individual Corporate Director Oct 1, 2018
Trustee of the SNF Oct 1, 2018
Arthur Vernon Stringer Individual Corporate Director Jan 1, 2022
Managing Control - Governing Body Jan 1, 2022
Trustee of the SNF Jan 1, 2022
Lenora R Campbell Individual Corporate DirectorBoard of Trustees Oct 1, 2018
VI-Anne Antrum Individual Corporate Director Apr 18, 2019
Trustee of the SNF Apr 18, 2019
David Lawrence Kitzmiller Individual Corporate OfficerDirector, Reimbursement Jan 25, 1985
Trustee of the SNF Jan 25, 1985
Mae Douglas Individual Corporate DirectorBoard of Trustees Oct 1, 2018
William F Hopper Individual Operational/Managerial Control Jan 2, 2018
Adp of the SNF Dec 11, 2025
Arthur Samet Individual Corporate Director Oct 1, 2021
Trustee of the SNF Oct 1, 2021
Jason R. Nelms Individual Corporate Director Oct 24, 2022
Trustee of the SNF Oct 24, 2022
Risant Health, Inc. Organization, Washington, DC Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%

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
Alamance Regional Medical Center IncBurlington, NC, CCN 34S070 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2013

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 9

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

Practitioners & affiliated clinicians

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407966864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7695",
            "fax_number": "336-832-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205020",
            "telephone_number": "336-951-6006",
            "fax_number": "336-951-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SUTHERLAND",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "336-832-7791",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.