Organization Active NPI

River Neuse Group, LLC

  • Skilled Nursing Facility
  • Havelock, NC
National Provider Identifier
1699710293
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0579 Issued in NC
Legal business name
RIVER NEUSE GROUP, LLC
Practice address
110 McCotter Blvd
Havelock, NC 28532-1632
Phone
(252) 444-4631
Fax
(252) 444-5831
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 NH0579 NC Primary

Addresses

Primary practice location

110 McCotter Blvd
Havelock, NC 28532-1632

Mailing address

110 McCotter Blvd
Havelock, NC 28532-1632
Phone (252) 444-4631

Other identifiers 3

IdentifierTypeStateIssuer
3415487MedicaidNC
0089TOtherNCBC/BS OF NC
3405487MedicaidNC

Other names 1

  • Cherry Point Bay Nursing and Rehabilitation Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
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
O20110222000067 NC Part A Provider - Skilled Nursing Facility 3870774060 Practice locations: Havelock, NC

Skilled nursing facility certification: CCN 345487

Legal name
RIVER NEUSE GROUP, LLC
Doing business as
CHERRY POINT NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 13, 1998
Last certification
Jul 2, 2025
Beds
70
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Principle Ltc
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
110 McCotter Boulevard
Havelock, NC 28532-1632
Nursing home name
CHERRY POINT BAY NURSING AND REHABILITATION CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cherry Point Bay Nursing and Rehabilitation CenterCCN 345487
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 13, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7065.5 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain
Penalties (3 years)
1Fines totaling $167,122

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
34D0936923River Neuse Group, LLC110 McCotter Boulevardd, Havelock, NC 28532Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Britthaven of Tarboro46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Ownership & related parties

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.

NameRoleSinceShare
Raymond Gregg Hill Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2011
Operational/Managerial ControlBoard Member Jan 1, 2011 18%
Robert O'Neil Hill Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2011
Operational/Managerial ControlBoard Member Jan 1, 2011 21%
Stephen Britt Hill Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2011
Operational/Managerial ControlBoard Member Jan 1, 2011 20%
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Dianne Johnson Individual Corporate OfficerTreasurer Jan 1, 2011
Principle Long Term Care, Inc. Organization, Kinston, NC Management services company, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%
Operational/Managerial Control Jan 1, 2011 50%
Principle It Services, Inc. Organization, Kinston, NC Management services company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%

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.

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1699710293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MCCOTTER BLVD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285321632",
            "telephone_number": "252-444-4631",
            "fax_number": "252-444-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MCCOTTER BLVD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285321632",
            "telephone_number": "252-444-4631",
            "fax_number": "252-444-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER NEUSE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-08-12",
        "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": "NH0579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415487",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "0089T",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405487",
            "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"
        },
        {
            "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": "Cherry Point Bay Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry Point Bay Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havelock, NC

Sources for this page

Verify at the official NPI Registry.