NPIMap

Organization Active NPI

Shoreland Healthcare & Retirement Center Inc

  • Skilled Nursing Facility
  • Whiteville, NC
National Provider Identifier
1689628141
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0510 Issued in NC
Legal business name
SHORELAND HEALTHCARE & RETIREMENT CENTER INC
Practice address
200 Flowers Pridgen Dr
Whiteville, NC 28472
Phone
(910) 642-4300
Fax
(910) 642-4405
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Mr. Joe Calcutt
Title
Cfo
Phone
(910) 642-0224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X NH0510 NC Primary

Addresses

Primary practice location

200 Flowers Pridgen Dr
Whiteville, NC 28472

Mailing address

2334 South 41St St
Wilmington, NC 28403
Phone (910) 332-1777

Other identifiers 4

IdentifierTypeStateIssuer
7801045MedicaidNC
3406388MedicaidNC
0089FOtherNCBCBS
3405397MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060427000050 NC Part A Provider - Skilled Nursing Facility 5092725614 Practice locations: Whiteville, NC

Skilled nursing facility certification: CCN 345397

Legal name
SHORELAND HEALTHCARE & RETIREMENT CENTER INC
Doing business as
SHORELAND HEALTHCARE AND RETIREMENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 10, 1991
Last certification
Dec 19, 2024
Beds
99 (89 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Liberty Health & Rehab
Organization structure
CorporationProprietary
Enrollment address
200 Flowers-Pridgen Drive
Whiteville, NC 28472-9110
Nursing home name
SHORELAND HEALTH CARE AND RETIREMENT CENTER INC
Affiliated entity
LIBERTY SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shoreland Health Care and Retirement Center IncCCN 345397
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 10, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8982.6 residents per day on average
Chain
Liberty Senior Living37 facilities in the chain
Penalties (3 years)
1Fines totaling $5,077

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Shoreland Health Care and Retirement Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Erica Schacht Individual Adp of the SNF Dec 23, 2025
Liberty Healthcare Management Inc Organization, Wilmngton, NC Corporation, Management services company, Chain home office Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 29, 2025
Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust Organization, Wilmngton, NC Adp of the SNF Mar 23, 2026
Jeffrey S. Wilson Individual Corporate Officer Apr 29, 2025
Corporate Director Oct 31, 2012
Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 29, 2025
Liberty Healthcare Group LLC Organization, Wilmngton, NC LLC, Holding company Adp of the SNF Mar 23, 2026
John Albert McNeill Individual 5% Or Greater Direct Ownership Interest Apr 1, 1998
Corporate OfficerPresident Apr 29, 2025
Corporate Director Apr 27, 2006
Adp of the SNF Apr 29, 2025
Joseph V Calcutt Individual Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 29, 2025
Liberty Long Term Care LLC Organization, Wilmngton, NC LLC, Holding company Adp of the SNF Mar 23, 2026
Liberty Healthcare Properties of Shoreland, LLC Organization, Wilmington, NC LLC Adp of the SNF Apr 29, 2025
Tracy E Ayers Individual Adp of the SNF Dec 23, 2025
Long Term Care Management Services LLC Organization, Wilmngton, NC LLC, Management services company Adp of the SNF Apr 29, 2025
Robert B Miller Individual Corporate DirectorSenior Director of Revenue Cycle Apr 29, 2025
Adp of the SNF Apr 29, 2025
Ronald Benjamin McNeill Individual 5% Or Greater Direct Ownership Interest Apr 1, 1998
Corporate OfficerVice President Apr 29, 2025
Corporate Director Apr 27, 2006
Adp of the SNF Apr 29, 2025
John a McNeill Jr 2012 Irrv TR Organization, Wilmngton, NC Adp of the SNF Mar 23, 2026
Liberty Real Properties, LLC Organization, Wilmngton, NC LLC, Holding company Adp of the SNF Apr 29, 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 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1689628141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 SOUTH 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-332-1777",
            "fax_number": "910-815-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FLOWERS PRIDGEN DR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "28472",
            "telephone_number": "910-642-4300",
            "fax_number": "910-642-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELAND HEALTHCARE & RETIREMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-642-0224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801045",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406388",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0089F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405397",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.