Spruce LTC Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0218 Issued in NC

Legal business name

SPRUCE LTC GROUP, LLC

Doing business as

Wilson Pines Nursing and Rehabilitation Center

Practice address

403 Crestview Ave SW
Wilson, NC 27893-4505

Phone

(252) 237-0724

Fax

(252) 234-0499

NPI assigned

Jun 25, 2006

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Wilson Pines Nursing and Rehabilitation Center Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700812146. Details of each certification follow.

• CCN 345372 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345372

Legal name

SPRUCE LTC GROUP, LLC

Doing business as

WILSON PINES NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 23, 1991

Last certification

Apr 10, 2025

Beds

125 (108 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Principle Ltc

Most recent change of ownership

Jan 1, 2011

Organization structure

LLCProprietary

Incorporated

Aug 20, 2010 in NC

Enrollment address

403 Crestview Ave SW
Wilson, NC 27893-4505

Nursing home name

WILSON PINES NURSING 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).

• Spruce LTC Group, LLC

  dba Bethany Woods Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Albemarle, NC
  • NPI 1235175175

  7416138516

  Same PAC ID
• Spruce LTC Group, LLC

  dba Richmond Pines Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Hamlet, NC
  • NPI 1689603060

  7416138516

  Same PAC ID
• Spruce LTC Group, LLC

  dba Clear Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Mint Hill, NC
  • NPI 1710312079

  7416138516

  Same PAC ID
• Spruce LTC Group, LLC

  dba Pine Ridge Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Thomasville, NC
  • NPI 1982640785

  7416138516

  Same PAC ID

Listed as

Wilson Pines Nursing and Rehabilitation CenterCCN 345372 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 23, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

108101.8 residents per day on average

Chain

Principle Long Term Care40 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Spruce LTC Group, LLC

  dba Bethany Woods Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Albemarle, NC
  • NPI 1235175175
  NPD tax ID
• Spruce LTC Group, LLC

  dba Richmond Pines Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Hamlet, NC
  • NPI 1689603060
  NPD tax ID
• Spruce LTC Group, LLC

  dba Clear Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Mint Hill, NC
  • NPI 1710312079
  NPD tax ID
• Spruce LTC Group, LLC

  dba Pine Ridge Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Thomasville, NC
  • NPI 1982640785
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Lalita V Sidana, M.D.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1295798668

  Adp of the SNF

  CMS ownership

Facilities with the same owner 43

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

• Birch LTC Group, LLC

  dba Barbour Court Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Smithfield, NC
  • NPI 1225064777

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Birch LTC Group, LLC

  dba Willow Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Goldsboro, NC
  • NPI 1508802497

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Continuum II Home Care & Hospice, Inc.

  dba Continuum II Home Care & Hospice of Pender County

  • Community Based Hospice Care Agency
  • Hampstead, NC
  • NPI 1457648909

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Continuum II Home Care & Hospice, Inc.

  dba Continuum Home Care & Hospice of Lenoir

  • Community Based Hospice Care Agency
  • Kinston, NC
  • NPI 1619074937

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Eagle Peak LTC Group, LLC

  dba Westwood Hills Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Wilkesboro, NC
  • NPI 1184650541

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Eagle Peak LTC Group, LLC

  dba Franklin Oaks Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Louisburg, NC
  • NPI 1376570275

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Eagle Peak LTC Group, LLC

  dba Kerr Lake Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Henderson, NC
  • NPI 1972547321

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Everest Long Term Care, LLC

  dba Springbrook Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Clayton, NC
  • NPI 1003205337

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Everest Long Term Care, LLC

  dba Tower Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Raleigh, NC
  • NPI 1356387153

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Everest Long Term Care, LLC

  dba LAKE PARK Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Indian Trail, NC
  • NPI 1548206907

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Granite Falls LTC, LLC

  dba Jacob's Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Madison, NC
  • NPI 1255367447

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership
• Granite Falls LTC, LLC

  dba Graham Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Robbinsville, NC
  • NPI 1366487464

  Principle It Services, Inc., Principle Long Term Care, Inc.

  CMS ownership

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.

• Lalita V Sidana, M.D.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1295798668
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lalita V Sidana, M.D.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1295798668

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1700812146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CRESTVIEW AVE SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934505",
            "telephone_number": "252-237-0724",
            "fax_number": "252-234-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CRESTVIEW AVE SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934505",
            "telephone_number": "252-237-0724",
            "fax_number": "252-234-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRUCE LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "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": "NH0218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415372",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "0097L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405372",
            "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": "Wilson Pines Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson Pines Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul J Speziale, M.A.
• Spouh DDS Wilson, PLLC
• Spreading Seeds Community Resources
• Spring Arbor of Wilson
• Spring Arbor Wilson NC Tenant, LLC (Spring Arbor of Wilson)
• Jessica Spruill
• SQLH Home Care Services, LLC
• SSC Wilson Operating Company LLC (Brian Center Health & Rehabilitation - Wilson)
• Stagecoach Kimberly Limited Liability Co.
• Ronald William Stahl, M.D.

• Skilled Nursing Facility in Wilson, NC
• Providers in Wilson, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.

Verify at the official NPI Registry.