Active NPI
Hospital Development Co
- Skilled Nursing Facility
- Spencer, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 74
- Legal business name
- HOSPITAL DEVELOPMENT CO
- Practice address
- 200 Hospital Dr
Spencer, WV 25276-1050 - Phone
- (304) 927-4444
- Fax
- (304) 927-6840
- NPI assigned
- Mar 28, 2006
- Last updated
- Aug 12, 2015
- 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
- Doug Bentz
- Title
- Ceo
- Phone
- (304) 927-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 74 | WV | Primary |
Addresses
Primary practice location
200 Hospital Dr
Spencer, WV 25276-1050
Mailing address
200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444
Other names 1
- ROANE GENERAL HOSPITAL SKILLED NURSING FACILITY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111122000939 | WV | Part A Provider - Skilled Nursing Facility | 4183527476 | Practice locations: Spencer, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1811958267. Details of each certification follow.
Skilled nursing facility certification: CCN 515099
- Legal name
- HOSPITAL DEVELOPMENT CO.
- Doing business as
- ROANE GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 9, 1989
- Last certification
- Dec 6, 2023
- Beds
- 35
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 25, 1966 in WV
- Enrollment address
- 200 Hospital Dr
Spencer, WV 25276-1050 - Nursing home name
- ROANE GENERAL HOSPITAL
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Roane General Hospital
- Critical Access Hospital
- Spencer, WV
- NPI 1316907322
4183527476
-
dba Roane General Hospital
- Medicare Defined Swing Bed Hospital Unit
- Spencer, WV
- NPI 1063509263
4183527476
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Roane General Hospital
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 9, 1989
- Medicare certification status
- Active
- Certified beds
- 35
National Provider Directory
National Provider Directory- Tax ID family
- Hospital Development Co
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1053059881
-
- Family Medicine Physician
- Walton, WV
- NPI 1316298250
-
- Family Medicine Physician
- Walton, WV
- NPI 1639423411
-
- Ambulance
- Spencer, WV
- NPI 1710697040
-
dba Roane General Hospital
- Nursing Facility/Intermediate Care Facility
- Spencer, WV
- NPI 1780719252
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Christine Hedges | Corporate Director | Feb 28, 2011 | |
| John Varda | Corporate Director | May 27, 1999 | |
| Gerald Titus | Corporate Director | Nov 17, 1986 | |
| Grant Stephen Parkins | W-2 Managing Employee | Oct 1, 2014 | |
| Hospital Development Co. | 5% Or Greater Direct Ownership Interest | Jan 27, 1970 | 100% |
| Operational/Managerial Control | Jan 27, 1970 | 100% | |
| Douglas Bentz | Corporate Director | Oct 9, 2000 | |
| W-2 Managing Employee | Oct 9, 2000 | ||
| John Taylor | Corporate Director | Mar 28, 2002 | |
| Robert E. Zdanek | Corporate Director | Jan 26, 2004 | |
| Jack Garrett | Corporate Director | Jun 5, 1995 | |
| Jennifer F McCulty | Corporate Director | May 23, 2005 | |
| Gloria Atkinson | Corporate Director | Sep 24, 2007 | |
| William Downey | Corporate Director | May 24, 2001 | |
| Hong-Kin NG | Corporate Director | Jan 1, 2014 | |
| Gregory Boggs | Corporate Director | Sep 24, 2007 | |
| Paul Hughes | Corporate Director | May 28, 1998 |
Owners & managing parties with NPI records 10
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1053059881
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Roane General Hospital
- Critical Access Hospital
- Spencer, WV
- NPI 1316907322
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Family Medicine Physician
- Walton, WV
- NPI 1639423411
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Ambulance
- Spencer, WV
- NPI 1710697040
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Spencer, WV
- NPI 1790745172
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Left Hand, WV
- NPI 1790745677
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Spencer, WV
- NPI 1922068469
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Roane General Hospital
- Medicare Defined Swing Bed Hospital Unit
- Spencer, WV
- NPI 1063509263
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Family Medicine Physician
- Spencer, WV
- NPI 1598769424
W-2 Managing Employee
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Roane General Hospital | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 3, 2013 Jun 3, 2013 |
| Hospital Development Co. | Rural health clinic | Operational/Managerial Control | Apr 20, 2004 |
| Southern Roane Medical Clinic | Rural health clinic | Operational/Managerial Control | Sep 25, 2005 |
| Arnoldsburg Medical Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1053059881
5% Or Greater Direct Ownership Interest
-
- Family Medicine Physician
- Walton, WV
- NPI 1639423411
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Spencer, WV
- NPI 1790745172
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Left Hand, WV
- NPI 1790745677
Operational/Managerial Control
-
- Rural Health Clinic/Center
- Spencer, WV
- NPI 1922068469
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1053059881
Hospital Development Co.
-
- Family Medicine Physician
- Walton, WV
- NPI 1639423411
Hospital Development Co.
-
- Rural Health Clinic/Center
- Left Hand, WV
- NPI 1790745677
Hospital Development Co.
-
- Rural Health Clinic/Center
- Spencer, WV
- NPI 1922068469
Hospital Development Co.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439337600000",
"number": "1811958267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761050",
"telephone_number": "304-927-4444",
"fax_number": "304-927-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761050",
"telephone_number": "304-927-4444",
"fax_number": "304-927-6840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL DEVELOPMENT CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2015-08-12",
"status": "A",
"authorized_official_last_name": "BENTZ",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-927-6200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "74",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROANE GENERAL HOSPITAL SKILLED NURSING FACILITY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spencer, WV
- David Lee Hopper, NP
- Hospital Development Co
- Hospital Development Co (Roane General Hospital)
- Hospital Development Co
- Hospital Development Co
- Hospital Development Co
- Hospital Development Co. (Roane General Hospital)
- Hospital Development Co. Dba Roane General Hospital
- Hospital Development Corporation (Roane General Hospital)
- Cassandra Nicole Hughes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.