NPIMap

Organization Active NPI

Woodside Park MD Opco

Doing business as Sligo Creek Healthcare

  • Skilled Nursing Facility
  • Takoma Park, MD
National Provider Identifier
1154029726
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WOODSIDE PARK MD OPCO
Doing business as
Sligo Creek Healthcare
Practice address
7525 Carroll Ave
Takoma Park, MD 20912-5715
Phone
(301) 270-4200
NPI assigned
Feb 22, 2023
Last updated
Sep 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Authorized official

Name
Jack Paneth
Title
Authorized Official
Phone
(301) 270-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

7525 Carroll Ave
Takoma Park, MD 20912-5715

Mailing address

7525 Carroll Ave
Takoma Park, MD 20912-5715
Phone (301) 270-4200

Other names 1

  • Sligo Creek Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231229001756 MD Part A Provider - Skilled Nursing Facility 0749630903 Practice locations: Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154029726. Details of each certification follow.

Skilled nursing facility certification: CCN 215327

Legal name
WOODSIDE PARK MD OPCO
Doing business as
SLIGO CREEK HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 9, 1999
Last certification
Feb 20, 2025
Beds
102
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Aug 1, 2023
Organization structure
LLCProprietary
Enrollment address
7525 Carroll Avenue
Baltimore, MD 21229-5715
Nursing home name
SLIGO CREEK HEALTHCARE
Affiliated entity
ENGAGE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sligo Creek HealthcareCCN 215327 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 9, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10295.1 residents per day on average
Chain
Engage Healthcare5 facilities in the chain
Penalties (3 years)
2Fines totaling $12,740

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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
Jake Lighten Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 50%
Operational/Managerial Control Aug 1, 2023
Henry Akinseye Individual W-2 Managing Employee Aug 1, 2023
Woodside Park MD Holdco LLC Organization, Takoma Park, MD Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Aug 1, 2023 100%
Jack Paneth Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 50%
Corporate Officer Aug 1, 2023

Practitioners & affiliated clinicians

Practitioners 5

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 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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694304000000",
    "number": "1154029726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 CARROLL AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125715",
            "telephone_number": "301-270-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 CARROLL AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125715",
            "telephone_number": "301-270-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE PARK MD OPCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "PANETH",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "301-270-4200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sligo Creek Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sligo Creek Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.