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Adventist Rehabilitation Hospital of Maryland Inc

Organization Active NPI Rehabilitation Hospital · Rockville, MD

NPI 1043216773 · NPPES record last updated Mar 22, 2021

Key facts

NPI
1043216773
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital 283X00000X
License
15-077 (MD)
Legal business name
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC
Practice address
9909 Medical Center Dr
Rockville, MD 20850-6361
Phone
(240) 864-6000
NPI assigned
Jun 27, 2005
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 3

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

Corporate family (same 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.

Facilities with the same owner 4

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

Practitioners 17

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

Affiliated clinicians 200

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

View all 200

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Adventist Healthcare Rehabilitation at Rockville CCN 213029
Ownership
Non-profit
Certified
Jan 12, 2001
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

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
Other · Non-profit
Incorporated
Apr 1, 2004 in MD
Enrollment address
9909 Medical Center Dr
Rockville, MD 20850-6361
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

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 Officer
SVP/Cfo		 Jan 1, 2025 5%
Corporate Director
SVP/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 Officer
VP		 Dec 6, 2017
Corporate Director
VP		 Dec 6, 2017
Brent D Reitz
Individual 		Corporate Officer
Secretary		 Jan 23, 2012
Corporate Director
Director		 Jan 23, 2012
W-2 Managing Employee
President & Administrator		 Jan 23, 2012 100%

Medicare enrollment records

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

National Provider Directory

Tax ID family
Adventist Rehab Hospital (11 organizations share this tax ID)

Locations

10905 Fort Washington Rd
Ste 301
Ft Washington, MD 20744
Phone (301) 292-7034

117 Ellington Blvd
Gaithersburg, MD 20878
Phone (240) 826-8939

800 S Frederick Ave
Ste 110
Gaithersburg, MD 20877
Phone (301) 208-2273

820 W Diamond Ave
Ste 600
Gaithersburg, MD 20878
Phone (301) 315-3030

17515 Redland Rd
Rockville, MD 20855
Phone (301) 963-2146

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

8807 Colesville Rd
Silver Spring, MD 20910

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

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
407075500MedicaidMD

Other names

  • Adventist HealthCare Rehabilitation Doing business as

Other providers in Rockville, MD

All providers in Rockville, MD · Rehabilitation Hospital in Maryland

Sources for this page

Verify at the official NPI Registry.