Organization Active NPI

Granite Falls LTC, LLC

Doing business as Macon Valley Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Franklin, NC
National Provider Identifier
1457397952
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0417 Issued in NC
Legal business name
GRANITE FALLS LTC, LLC
Doing business as
Macon Valley Nursing and Rehabilitation Center
Practice address
3195 Old Murphy Rd
Franklin, NC 28734-7213
Phone
(828) 524-7806
Fax
(828) 524-0146
NPI assigned
Jun 22, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Ms. Karen G McDaniel
Title
President
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0417 NC Primary

Addresses

Primary practice location

3195 Old Murphy Rd
Franklin, NC 28734-7213

Mailing address

PO Box 1449
Franklin, NC 28744-1449
Phone (828) 524-7806

Other identifiers 4

IdentifierTypeStateIssuer
3405263MedicaidNC
3415263MedicaidNC
0085AOtherNCBC/BS OF NC
3406379MedicaidNC

Other names 1

  • Macon Valley Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000236 NC Part A Provider - Skilled Nursing Facility 5799966727 Practice locations: Franklin, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457397952. Details of each certification follow.

Skilled nursing facility certification: CCN 345263

Legal name
GRANITE FALLS LTC, LLC
Doing business as
MACON VALLEY NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 14, 1987
Last certification
Jun 5, 2025
Beds
200
Ownership / control type
Corporation
Multi-facility organization
Principle LTC
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
3195 Old Murphy Road
Franklin, NC 28734-7213
Nursing home name
MACON VALLEY NURSING AND REHABILITATION CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Macon Valley Nursing and Rehabilitation CenterCCN 345263 · All quality measures
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
Jul 14, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
20080.8 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $5,689

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
34D0967849Granite Falls LTC, LLC3195 Old Murphy Road, Franklin, NC 28734Certificate of waiverNov 23, 2027

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.

Ownership & related parties

All disclosed owners & managing parties 9

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 InterestBoard Member Jan 1, 2011 18%
Robert O'Neil Hill Individual 5% Or Greater Indirect Ownership InterestBoard Member Jan 1, 2011 20.6%
Adp of the SNF Jan 1, 2011
Indirect Ownership Interest Jan 1, 2011 20.6%
Stephen Britt Hill Individual 5% Or Greater Indirect Ownership InterestBoard Member Jan 1, 2011 20%
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Operational/Managerial Control Mar 18, 2018
Adp of the SNF Mar 5, 2018
Jayne Burnette Individual Managing Control - Governing BodyAdministrator Apr 24, 2025
Adp of the SNF Jun 16, 2025
Dianne Johnson Individual Corporate OfficerTreasurer Jan 1, 2011
Principle Long Term Care, Inc. Organization, Kinston, NC 5% Or Greater Direct Ownership Interest Jan 28, 2011
Operational/Managerial Control Jan 28, 2011
Dewey Todd Detar Individual Managing Control - Governing BodyMedical Director Apr 1, 2024
Adp of the SNF Apr 1, 2024
Principle It Services, Inc. Organization, Kinston, NC 5% Or Greater Direct Ownership Interest Jan 28, 2011

Owners & managing parties with NPI records 1

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

Facilities with the same owner 43

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

View all 43

Practitioners & affiliated clinicians

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.

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1457397952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287441449",
            "telephone_number": "828-524-7806",
            "fax_number": "828-524-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 OLD MURPHY RD",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287347213",
            "telephone_number": "828-524-7806",
            "fax_number": "828-524-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE FALLS LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405263",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415263",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "0085A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406379",
            "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": "Macon Valley Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Macon Valley Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, NC

Sources for this page

Verify at the official NPI Registry.