Organization Active NPI

Spruce LTC Group, LLC

Doing business as Richmond Pines Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Hamlet, NC
National Provider Identifier
1689603060
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0455 Issued in NC
Legal business name
SPRUCE LTC GROUP, LLC
Doing business as
Richmond Pines Healthcare and Rehabilitation Center
Practice address
769 Old Cheraw Hwy
Hamlet, NC 28345
Phone
(910) 582-0021
Fax
(910) 205-0244
NPI assigned
Jun 30, 2006
Last updated
Jul 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Gale Boice
Title
Cfo
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0455 NC Primary

Addresses

Primary practice location

769 Old Cheraw Hwy
Hamlet, NC 28345

Mailing address

PO Box 1489
Hamlet, NC 28345-1489
Phone (910) 582-0021

Other identifiers 3

IdentifierTypeStateIssuer
3415293MedicaidNC
3405293MedicaidNC
0098HOtherNCBC/BS OF NC

Other names 1

  • Richmond Pines Healthcare 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
O20110414000644 NC Part A Provider - Skilled Nursing Facility 7416138516 Practice locations: Hamlet, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689603060. Details of each certification follow.

Skilled nursing facility certification: CCN 345293

Legal name
SPRUCE LTC GROUP, LLC
Doing business as
RICHMOND PINES HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 18, 1989
Last certification
Sep 18, 2024
Beds
115 (105 certified)
Ownership / control type
Corporation
Multi-facility organization
Principle LTC
Organization structure
LLCProprietary
Incorporated
Aug 10, 2010 in NC
Enrollment address
769 Highway 177 South
Hamlet, NC 28345-4358
Nursing home name
RICHMOND PINES HEALTHCARE 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
Richmond Pines Healthcare and Rehabilitation CenteCCN 345293 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 18, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10583.5 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ability Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1435 US Highway 258N
Kinston, NC 28504
Phone (252) 523-9094

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 InterestOwner/Board Member Jan 1, 2011 18.47%
Adp of the SNF Jan 1, 2011
Indirect Ownership Interest Jan 1, 2011 18.47%
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
Indirect Ownership Interest Jan 1, 2011 20.6%
Stephen Britt Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 20.02%
Adp of the SNF Jan 1, 2011
Indirect Ownership Interest Jan 1, 2011 20.02%
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Operational/Managerial Control Mar 18, 2018
Adp of the SNF Mar 5, 2018
Dianne Johnson Individual Corporate DirectorTreasurer Jan 1, 2011
Holly Layman Bernardini Individual Managing Control - Governing BodyMedical Director Jun 1, 2024
Adp of the SNF Jun 1, 2024
Principle Long Term Care, Inc. Organization, Kinston, NC 5% Or Greater Direct Ownership Interest Jan 1, 2011
Operational/Managerial Control Jan 1, 2011
Principle It Services, Inc. Organization, Kinston, NC 5% Or Greater Direct Ownership Interest Jan 1, 2011
Michael Wagner Individual Managing Control - Governing BodyAdministrator Nov 13, 2023
Adp of the SNF Jun 12, 2025

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1689603060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1489",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283451489",
            "telephone_number": "910-582-0021",
            "fax_number": "910-205-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 OLD CHERAW HWY",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "28345",
            "telephone_number": "910-582-0021",
            "fax_number": "910-205-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRUCE LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "BOICE",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-523-9094"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415293",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "0098H",
            "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": "Richmond Pines Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Richmond Pines Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamlet, NC

Sources for this page

Verify at the official NPI Registry.