NPIMap

Organization Active NPI

Redwood LTC Group, LLC

  • Skilled Nursing Facility
  • Jacksonville, NC
National Provider Identifier
1962447565
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0229 Issued in NC
Legal business name
REDWOOD LTC GROUP, LLC
Practice address
225 White St
Jacksonville, NC 28546-6351
Phone
(910) 353-7222
Fax
(910) 353-8010
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Ms. Karen G McDaniel
Title
President
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0229 NC Primary

Addresses

Primary practice location

225 White St
Jacksonville, NC 28546-6351

Mailing address

225 White St
Jacksonville, NC 28546-6351
Phone (910) 353-7222

Other identifiers 5

IdentifierTypeStateIssuer
3405217MedicaidNC
00959OtherNCBC/BS OF NC
00959OtherNCSTATE HEALTH PLAN #
7802298MedicaidNC
3415217MedicaidNC

Other names 1

  • Premier Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000599 NC Part A Provider - Skilled Nursing Facility 1658552773 Practice locations: Jacksonville, NC

Skilled nursing facility certification: CCN 345217

Legal name
REDWOOD LTC GROUP, LLC
Doing business as
PREMIER NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 25, 1981
Last certification
Apr 24, 2025
Beds
246 (239 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Principle LTC
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
225 White Street
Jacksonville, NC 28546-6351
Nursing home name
PREMIER NURSING AND REHABILITATION CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Premier Nursing and Rehabilitation CenterCCN 345217
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 25, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
239141.7 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain
Penalties (3 years)
1Fines totaling $51,984

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
34D0655448Redwood LTC Group, LLC225 White St, Jacksonville, NC 28546Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ability Network4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

604 Lucas Rd
Dunn, NC 28334
Phone (910) 891-4600

Ownership & related parties

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.

NameRoleSinceShare
Raymond Gregg Hill Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2011 18.47%
Adp of the SNF Jan 1, 2011
Direct Ownership Interest Jan 1, 2011 18.47%
Robert O'Neil Hill Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2011 20.6%
Adp of the SNF Jan 1, 2011
Direct Ownership Interest Jan 1, 2011 20.6%
Stephen Britt Hill Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2011 20.02%
Adp of the SNF Jan 1, 2011
Direct Ownership Interest Jan 1, 2011 20.02%
Raymond Schmoke Individual Managing Control - Governing BodyMedical Director Nov 1, 2024
Adp of the SNF Nov 1, 2024
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Operational/Managerial Control Mar 18, 2018
Adp of the SNF Mar 5, 2018
Dianne Johnson Individual Corporate OfficerTreasurer Jan 1, 2011
Principle Long Term Care, Inc. Organization, Kinston, NC 5% Or Greater Direct Ownership Interest Jan 1, 2011
Operational/Managerial Control Jan 1, 2011
Melissa Schmidt Individual Managing Control - Governing BodyAdministrator May 6, 2024
Adp of the SNF Jun 13, 2025
Principle It Services, Inc. Organization, Kinston, NC 5% Or Greater Direct Ownership Interest Jan 1, 2011

Owners & managing parties with NPI records 1

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

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 2

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

Affiliated clinicians 3

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1962447565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WHITE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466351",
            "telephone_number": "910-353-7222",
            "fax_number": "910-353-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WHITE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466351",
            "telephone_number": "910-353-7222",
            "fax_number": "910-353-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405217",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "00959",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HEALTH PLAN #",
            "identifier": "00959",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802298",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415217",
            "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"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.