Organization Active NPI

Solomons Skilled Nursing Center LLC

  • Skilled Nursing Facility
  • Solomons, MD
National Provider Identifier
1124630066
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 215270 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Nov 16, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9594.6 residents per day on average
Chain
Green Tree Healthcare Management4 facilities in the chain
Penalties (3 years)
7Fines totaling $225,946

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Individual Adp of the SNF Feb 4, 2025
Hermisol Holdco LLC Organization, Chevy Chase, MD Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2020 100%
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2020 24%
Adp of the SNF Sep 1, 2020
Aharon Stern Individual 5% Or Greater Indirect Ownership InterestOwner Dec 31, 2023 25%
Corporate Director Sep 1, 2020
Adp of the SNF Sep 1, 2020
Moshe Mendlowitz Individual 5% Or Greater Indirect Ownership InterestOwner Sep 1, 2020 24%
Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Mar 18, 2025
Simon J Stern Individual 5% Or Greater Indirect Ownership InterestOwner 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.

View all 39

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.

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": "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

Verify at the official NPI Registry.