Organization Active NPI

Lenoir Memorial Hospital, Incorporated

  • Rehabilitation Hospital Unit
  • Kinston, NC
National Provider Identifier
1760426183
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H0043 Issued in NC
Legal business name
LENOIR MEMORIAL HOSPITAL, INCORPORATED
Practice address
100 Airport Rd
Kinston, NC 28503-1678
Phone
(252) 522-7000
Fax
(252) 522-7007
NPI assigned
Jun 15, 2006
Organization subpart
Yes
Parent organization
LENOIR MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Crystal Mae Hayden
Title
Ceo
Phone
(984) 974-1183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X H0043 NC Primary
Special Hospital 284300000X

Addresses

Primary practice location

100 Airport Rd
Kinston, NC 28503-1678

Mailing address

100 Airport Rd
Kinston, NC 28503-1678
Phone (252) 522-7000

Other identifiers 2

IdentifierTypeStateIssuer
3400027TMedicaidNC
00309OtherNCBCBS

Other names 2

  • Rehabilitation Unit Doing business as
  • UNC Lenoir Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000601 NC Part A Provider - Hospital 0244121226 Practice locations: Kinston, NC

Hospital certification: CCN 34T027

Legal name
LENOIR MEMORIAL HOSPITAL, INCORPORATED
Doing business as
UNC LENOIR HEALTH CARE
Organization structure
CorporationNon-profit
Incorporated
Dec 7, 1950 in NC
Enrollment address
100 Airport Rd
Kinston, NC 28501-1604
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Lenoir Memorial Hospital Rehab UnitCCN 34T027
Ownership
Non-profit
Certified
Jul 1, 2020

National Provider Directory

National Provider Directory
Tax ID family
Lenior Memorial Hosp6 organizations share this tax ID, including this one
Part of
Lenior Memorial Hosp

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Lenoir Memorial Hospital, Incorporated Organization, Kinston, NC Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966
Linwood Hugh Pollock Individual Corporate Director Jan 16, 2020
Michael Whitfield Individual Corporate DirectorBoard Member Aug 24, 2015
Crystal M Hayden Individual Corporate OfficerCeo May 28, 2023
Robin Adams Roberson Individual Corporate Director Jan 16, 2020
Michael Shea James Individual Corporate DirectorBoard Member Feb 19, 2024
Karl L Vanderstouw Individual Corporate OfficerVP/Chief Information Officer Jan 26, 2015
Tonya Sessoms Adams Individual Corporate DirectorBoard Member Feb 1, 2025
Bharadwaj Mantha Individual Corporate OfficerCfo Jun 10, 2024
Frances Herring Individual Corporate DirectorBoard Member Feb 19, 2018
Randy Michael Bledsoe Individual Corporate DirectorBoard Member Jan 31, 2023
Milton Dale Warner Individual Corporate DirectorBoard Member Mar 31, 2025
University of North Carolina Health Care System Organization, Morrisville, NC Operational/Managerial Control May 17, 2016
Brittany Grace Ferrell Individual W-2 Managing EmployeeDirector of Ip Rehab Dec 31, 2023
Russell Hunt Individual Corporate DirectorBoard Member Feb 19, 2018
Keri Noeski Individual Corporate Officer Mar 31, 2025
David Stuart Lindley Individual Corporate DirectorBoard Member Jan 18, 2018
Joan Templeton Perry Individual Corporate DirectorBoard Member Mar 24, 2023
Joel Simon Rose Individual Corporate DirectorBoard Member Feb 1, 2025
Preston Harris Individual Corporate DirectorBoard Member Jan 28, 2021
Felicia Solomon Individual Corporate DirectorBoard Member Aug 18, 2016
Carlton Younger Individual Corporate DirectorBoard Member Jan 24, 2011

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Health LenoirKinston, NC, CCN 340027 Hospital Operational/Managerial Control May 17, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 17

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

View all 17

Affiliated clinicians 12

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1760426183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031678",
            "telephone_number": "252-522-7000",
            "fax_number": "252-522-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031678",
            "telephone_number": "252-522-7000",
            "fax_number": "252-522-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR MEMORIAL HOSPITAL, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LENOIR MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-974-1183"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NC",
            "license": "H0043",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400027T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Lenoir Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.