Active NPI
Solomons Skilled Nursing Center LLC
- Skilled Nursing Facility
- Solomons, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SOLOMONS SKILLED NURSING CENTER LLC
- Practice address
- 13325 Dowell Rd
Solomons, MD 20688-4032 - Phone
- (410) 326-0077
- NPI assigned
- Aug 21, 2020
- Last updated
- Aug 21, 2020
- 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
- Simon Stern
- Title
- Owner
- Phone
- (917) 685-8278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
13325 Dowell Rd
Solomons, MD 20688-4032
Mailing address
13325 Dowell Rd
Solomons, MD 20688-4032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201029002110 | MD | Part A Provider - Skilled Nursing Facility | 0547670796 | Practice locations: Solomons, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1124630066. Details of each certification follow.
Skilled nursing facility certification: CCN 215270
- Legal name
- SOLOMONS SKILLED NURSING CENTER LLC
- Doing business as
- SOLOMONS NURSING AND REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 16, 1994
- Last certification
- Aug 29, 2024
- Beds
- 95
- Ownership / control type
- Individual
- Multi-facility organization
- Green Tree Health Care Management
- Organization structure
- LLC
- Enrollment address
- 13325 Dowell Rd
Solomons, MD 20688-4032 - Nursing home name
- SOLOMONS NURSING AND REHAB CENTER
- Affiliated entity
- GREEN TREE HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Solomons Nursing and Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Nov 16, 1994
- Medicare certification status
- Active
- Certified beds
- 95
- Chain
- Green Tree Healthcare Management
- Penalties (3 years)
- 7
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Adp of the SNF | Feb 4, 2025 | ||
| Hermisol Holdco LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2020 | 100% |
| 10-26 Nationwide TR | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 24% |
| Adp of the SNF | Sep 1, 2020 | ||
| Aharon Stern | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 25% |
| Corporate Director | Sep 1, 2020 | ||
| Adp of the SNF | Sep 1, 2020 | ||
| Moshe Mendlowitz | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 24% |
| Adp of the SNF | Sep 1, 2020 | ||
| Adp of the SNF | Mar 18, 2025 | ||
| Simon J Stern | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 25% |
| Corporate Director | Sep 1, 2020 | ||
| Operational/Managerial Control | Sep 1, 2020 | ||
| Adp of the SNF | Sep 1, 2020 |
Facilities with the same owner 39
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Axiom Behavioral Health at Naples
- Psychiatric Hospital
- Naples, FL
- NPI 1235024357
10-26 Nationwide TR
-
- Skilled Nursing Facility
- Mt Pleasant, IA
- NPI 1497372155
10-26 Nationwide TR
-
dba Arbor Hills Care & Rehab Center
- Skilled Nursing Facility
- Ferguson, MO
- NPI 1538046065
10-26 Nationwide TR
-
dba Maimonides Health Center of Virginia Beach
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1922792233
10-26 Nationwide TR
-
dba Camelot Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Farmington, MO
- NPI 1043889678
10-26 Nationwide TR
-
dba The Quarters at Des Peres
- Skilled Nursing Facility
- Des Peres, MO
- NPI 1700242377
10-26 Nationwide TR
-
- Community Based Hospice Care Agency
- Fort Mill, SC
- NPI 1598331357
10-26 Nationwide TR
-
- Skilled Nursing Facility
- Florissant, MO
- NPI 1770077463
10-26 Nationwide TR
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Churchton, MD
- NPI 1265446694
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1275591141
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1275591141
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597968000000",
"number": "1124630066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13325 DOWELL RD",
"city": "SOLOMONS",
"state": "MD",
"postal_code": "206884032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13325 DOWELL RD",
"city": "SOLOMONS",
"state": "MD",
"postal_code": "206884032",
"telephone_number": "410-326-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLOMONS SKILLED NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-21",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-685-8278"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solomons, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.