Active NPI
Princeton Health Care Center
- Skilled Nursing Facility
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 89
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004017000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 1, 2004
- Medicare certification status
- Active
- Certified beds
- 120
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0233641 | Princeton Health Care | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Apr 1, 2025 | ||
| Janet G Shrewsbury | Corporate Director | Jul 1, 2024 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| Michael V Webb | Corporate Director | Mar 25, 2018 | |
| Stephanie Odell | Corporate Officer | Dec 4, 2017 | |
| Operational/Managerial Control | Dec 4, 2017 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| Ron Martin | Corporate Director | Mar 19, 2024 | |
| Dustin White | Corporate Officer | Jul 1, 2022 | |
| Princeton Memorial Hospital Company | 5% Or Greater Direct Ownership Interest | Jun 1, 1981 | 100% |
| Christie Bailey | Corporate Officer | Dec 6, 2004 | |
| Charles Dale Autrey | Corporate Director | Oct 1, 2020 | |
| Karthik Ramakrishnan | Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Apr 18, 2025 | ||
| Evelyn Raeanne Osborne | Corporate Director | Oct 1, 2020 | |
| Judy Akers | Corporate Director | 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.
-
- Internal Medicine Physician
- Beckley, WV
- NPI 1942248943
Adp of the SNF, Operational/Managerial 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, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Beckley, WV
- NPI 1942248943
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
- Princeton Community Hospital Association, Inc.
- Princeton Community Hospital Association, Inc.
- Princeton Community Hospital Home Health (PCH Home Health)
- Princeton Family Health Care PLLC
- Princeton Family Medicine, PLLC
- Princeton Internists Inc
- Princeton Pediatrics Lab
- Princeton Pediatrics, P.C.
- Princeton Psychological LLC
- Princeton Rescue Squad Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.