NPIMap

Organization Active NPI

Riverside SNF Operator, LLC

  • Skilled Nursing Facility
  • Belcamp, MD
National Provider Identifier
1083173231
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIVERSIDE SNF OPERATOR, LLC
Practice address
1123 Belcamp Garth
Belcamp, MD 21017-1452
Phone
(410) 575-6400
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Jeffrey Kagan
Title
Manager
Phone
(410) 207-4099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1123 Belcamp Garth
Belcamp, MD 21017-1452

Mailing address

1123 Belcamp Garth
Belcamp, MD 21017-1452

Other names 1

  • Sterling Care Riverside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190522003198 MD Part A Provider - Skilled Nursing Facility 4082957675 Practice locations: Belcamp, MD

Skilled nursing facility certification: CCN 215233

Legal name
RIVERSIDE SNF OPERATOR, LLC
Doing business as
STERLING CARE RIVERSIDE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 1992
Last certification
Apr 6, 2023
Beds
129
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 4, 2019 in MD
Enrollment address
1123 Belcamp Garth
Belcamp, MD 21017-1452
Nursing home name
STERLING CARE RIVERSIDE
Affiliated entity
STERLING CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sterling Care RiversideCCN 215233
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
129108.8 residents per day on average
Chain
Sterling Care6 facilities in the chain
Penalties (3 years)
1Fines totaling $4,194

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Riverside SNF Operator LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jeffrey H Kagan Individual 5% Or Greater Indirect Ownership InterestOwner May 1, 2019 37%
W-2 Managing Employee May 1, 2019
Nathan Jakobovits Individual 5% Or Greater Indirect Ownership InterestOwner May 1, 2019 35%
W-2 Managing Employee May 1, 2019
Ro Holdings, LLC Organization, Silver Spring, MD LLC 5% Or Greater Direct Ownership Interest May 1, 2019 100%

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1083173231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BELCAMP GARTH",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BELCAMP GARTH",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171452",
            "telephone_number": "410-575-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SNF OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-207-4099"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Care Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belcamp, MD

Sources for this page

Verify at the official NPI Registry.