Greens at Weaverville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GREENS AT WEAVERVILLE LLC

Practice address

78 Weaver Blvd
Weaverville, NC 28787-9322

Phone

(828) 645-4297

Fax

(828) 645-4532

NPI assigned

May 27, 2022

Last updated

May 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Stern

Title

Ceo

Phone

(513) 830-5342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417696576. Details of each certification follow.

• CCN 345221 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345221

Legal name

GREENS AT WEAVERVILLE LLC

Doing business as

THE GREENS AT WEAVERVILLE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 12, 1982

Last certification

Jun 12, 2024

Beds

132 (122 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

CCH Healthcare

Organization structure

LLCProprietary

Incorporated

May 23, 2022 in NC

Enrollment address

78 Weaver Blvd
Weaverville, NC 28787-9322

Nursing home name

THE GREENS AT WEAVERVILLE

Affiliated entity

CCH HEALTHCARE

Listed as

The Greens at WeavervilleCCN 345221 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 12, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

122109.0 residents per day on average

Chain

CCH Healthcare33 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

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

Facilities with the same owner 55

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

• Greens at Cabarrus LLC

  • Skilled Nursing Facility
  • Concord, NC
  • NPI 1538808340

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Greens at Gastonia LLC

  • Skilled Nursing Facility
  • Gastonia, NC
  • NPI 1851030985

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Greens at Hendersonville LLC

  • Skilled Nursing Facility
  • Hendersonville, NC
  • NPI 1013656156

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Greens at Hickory LLC

  • Skilled Nursing Facility
  • Hickory, NC
  • NPI 1184363236

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Greens at Lincolnton LLC

  • Skilled Nursing Facility
  • Lincolnton, NC
  • NPI 1518606664

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Greens at Maple Leaf LLC

  • Skilled Nursing Facility
  • Statesville, NC
  • NPI 1922747088

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust

  CMS ownership
• Greens at Spruce Pines LLC

  • Skilled Nursing Facility
  • Spruce Pine, NC
  • NPI 1508505660

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Greens at Viewmont LLC

  • Skilled Nursing Facility
  • Hickory, NC
  • NPI 1255070306

  10-26 Nationwide TR, Bync Holdings LLC, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Pinehurst Opco, LLC

  dba The Greens At Pinehurst Rehabilitation & Living Center

  • Skilled Nursing Facility
  • Pinehurst, NC
  • NPI 1528544145

  Starlight Healthcare LLC

  CMS ownership
• Pineville Healthcare LLC

  dba Pineville Rehabilitation and Living Center

  • Skilled Nursing Facility
  • Pineville, NC
  • NPI 1922456664

  10-26 Nationwide TR, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership
• Ridgewood Healthcare LLC

  dba Ridgewood Living and Rehabilitation Center

  • Skilled Nursing Facility
  • Washington, NC
  • NPI 1306293170

  10-26 Nationwide TR, Starlight Healthcare LLC

  CMS ownership
• Valley Nursing Healthcare LLC

  dba Valley Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Taylorsville, NC
  • NPI 1285403899

  10-26 Nationwide TR, Capital Holdings Trust, Starlight Healthcare LLC

  CMS ownership

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.

• Katherine Grimes Crum, M.D.

  • General Practice Physician
  • Asheville, NC
  • NPI 1336374081
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Katherine Grimes Crum, M.D.

  • General Practice Physician
  • Asheville, NC
  • NPI 1336374081

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1417696576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE UNIT 304",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 WEAVER BLVD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879322",
            "telephone_number": "828-645-4297",
            "fax_number": "828-645-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENS AT WEAVERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-830-5342"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Murray Glover, MD
• Gregory Alan Godley, DDS
• Katelynn Graeme, D.O
• Christine Grannan
• Zoe Becca Gravitt
• Kayla Elizabeth Gregg, PA-C
• Gregory a Godley DMD PA
• Grey Matters Counseling Services PLLC
• Alison Gripentrog, MA, CCC-SLP
• Isabel Guerra

• Skilled Nursing Facility in Weaverville, NC
• Providers in Weaverville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.

Verify at the official NPI Registry.