NPIMap

Organization Active NPI

Adventist Rehabilitation Hospital of Maryland Inc

Doing business as Adventist HealthCare Rehabilitation

  • Rehabilitation Hospital
  • Rockville, MD
National Provider Identifier
1043216773
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
15-077 Issued in MD
Legal business name
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC
Doing business as
Adventist HealthCare Rehabilitation
Practice address
9909 Medical Center Dr
Rockville, MD 20850-6361
Phone
(240) 864-6000
NPI assigned
Jun 27, 2005
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Mr. James Lee
Title
Treasurer and Secretary
Phone
(301) 315-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 15-077 MD Primary

Addresses

Primary practice location

9909 Medical Center Dr
Rockville, MD 20850-6361

Mailing address

820 W Diamond Ave
Suite 500
Gaithersburg, MD 20878-1419
Phone (301) 315-3030

Other names 1

  • Adventist HealthCare Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000877 MD Part A Provider - Hospital 9830139492 Practice locations: Fort Washington, MD; Gaithersburg, MD; Rockville, MD; Silver Spring, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043216773. Details of each certification follow.

Hospital certification: CCN 213029

Legal name
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC
Doing business as
ADVENTIST HEALTHCARE REHABILITATION
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jan 12, 2001
Last certification
Nov 6, 2013
Beds
87
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 1, 2004 (1 total)
Organization structure
OtherNon-profit
Incorporated
Apr 1, 2004 in MD
Enrollment address
9909 Medical Center Dr
Rockville, MD 20850-6361
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Adventist Healthcare Rehabilitation at RockvilleCCN 213029 · All quality measures
Ownership
Non-profit
Certified
Jan 12, 2001
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Adventist Rehab Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

9905 Medical Center Dr
Ste 310
Rockville, MD 20850
Phone (240) 826-2100

813 University Blvd W
Unit 12
Silver Spring, MD 20901
Phone (240) 864-6000

831 University Blvd E
Ste 14
Silver Spring, MD 20903
Phone (301) 445-3191

8807 Colesville Rd
Fl 3
Silver Spring, MD 20910
Phone (240) 864-6802

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kevin S Cargill Individual Corporate OfficerSVP/Cfo Jan 1, 2025 5%
Corporate DirectorSVP/Cfo Jan 1, 2025 5%
Adventist Healthcare, Inc. Organization, Gaithersburg, MD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2004 100%
John Sackett Individual Corporate OfficerVP Dec 6, 2017
Corporate DirectorVP Dec 6, 2017
Brent D Reitz Individual Corporate OfficerSecretary Jan 23, 2012
Corporate DirectorDirector Jan 23, 2012
W-2 Managing EmployeePresident & Administrator Jan 23, 2012 100%

Owners & managing parties with NPI records 3

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

  • Adventist Healthcare, Inc

    dba Capital Choice Pathology Laboratory

    • Anatomic Pathology & Clinical Pathology Physician
    • Silver Spring, MD
    • NPI 1033123880

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Adventist Healthcare, Inc.

    dba Adventist HealthCare White Oak Medical Center

    • General Acute Care Hospital
    • Silver Spring, MD
    • NPI 1487650024

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Adventist Healthcare, Inc.

    dba Adventist HealthCare Shady Grove Medical Center

    • General Acute Care Hospital
    • Rockville, MD
    • NPI 1568468221

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

Affiliated clinicians 200

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

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1043216773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE",
            "address_2": "SUITE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781419",
            "telephone_number": "301-315-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506361",
            "telephone_number": "240-864-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER AND SECRETARY",
        "authorized_official_telephone_number": "301-315-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MD",
            "license": "15-077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist HealthCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.