Organization Active NPI

Princeton Health Care Center

  • Skilled Nursing Facility
  • Princeton, WV
National Provider Identifier
1699776716
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
89 Issued in WV
Legal business name
PRINCETON HEALTH CARE CENTER
Practice address
315 Courthouse Rd
Princeton, WV 24740-2421
Phone
(304) 487-3458
Fax
(304) 425-1924
NPI assigned
Aug 10, 2005
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Roger F Topping, NHA
Title
Administrator
Phone
(304) 431-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 89 WV Primary

Addresses

Primary practice location

315 Courthouse Rd
Princeton, WV 24740-2421

Mailing address

315 Courthouse Rd
Princeton, WV 24740-2421
Phone (304) 487-3458

Other identifiers 1

IdentifierTypeStateIssuer
0004017000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001750 WV Part A Provider - Skilled Nursing Facility 0749172930 Practice locations: Princeton, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699776716. Details of each certification follow.

Skilled nursing facility certification: CCN 515187

Legal name
PRINCETON HEALTH CARE CENTER
Doing business as
PRINCETON HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 2004
Last certification
May 8, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1964 in WV
Enrollment address
315 Courthouse Road
Princeton, WV 24740-2421
Nursing home name
PRINCETON HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Princeton Health Care CenterCCN 515187 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.4 residents per day on average

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
51D0233641Princeton Health Care315 Courthouse Rd, Princeton, WV 24740Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

315 Courthouse Rd
Princeton, WV 24740
Phone (304) 487-3458

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Organization, Evansville, IN LLC, Consulting firm Adp of the SNF Apr 1, 2025
Janet G Shrewsbury Individual Corporate DirectorBoard Member Jul 1, 2024
Organization, Madison, WI Adp of the SNF Apr 1, 2025
Organization, Madison, WI Adp of the SNF Apr 1, 2025
Michael V Webb Individual Corporate DirectorBoard Member Mar 25, 2018
Stephanie Odell Individual Corporate OfficerCeo/Administrator Dec 4, 2017
Operational/Managerial Control Dec 4, 2017
Adp of the SNF Apr 1, 2025
Ron Martin Individual Corporate DirectorBoard Member Mar 19, 2024
Dustin White Individual Corporate OfficerChief Financial Officer Jul 1, 2022
Princeton Memorial Hospital Company Organization, Princeton, WV Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jun 1, 1981 100%
Christie Bailey Individual Corporate OfficerDirector of Nursing Dec 6, 2004
Charles Dale Autrey Individual Corporate DirectorBoard Member Oct 1, 2020
Karthik Ramakrishnan Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 18, 2025
Evelyn Raeanne Osborne Individual Corporate DirectorBoard Chair Oct 1, 2020
Judy Akers Individual Corporate DirectorBoard Secretary Jul 1, 2024

Owners & managing parties with NPI records 1

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

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": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1699776716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-487-3458",
            "fax_number": "304-425-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-487-3458",
            "fax_number": "304-425-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "TOPPING",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-431-4226",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004017000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.