King Farm Presbyterian Retirement Community, Inc.

Key facts

NPI: 1154567535
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
Legal business name: KING FARM PRESBYTERIAN RETIREMENT COMMUNITY, INC.
Practice address: 701 King Farm Blvd
Rockville, MD 20850-5728
Phone: (240) 499-9015
Fax: (240) 499-9061
NPI assigned: Jan 6, 2009
Organization subpart: No

Authorized official

Name: Lynn Green
Title: Billing Manager
Phone: (301) 407-2055

Owners & managing parties with NPI records 5

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

Flagship Rehabilitation, Inc. Physical Therapist · Sandy Spring, MD · NPI 1487760799

CMS ownership ADP OF THE SNF
Phillip David Magidson, MD, MPH Geriatric Medicine (Internal Medicine) Physician · Baltimore, MD · NPI 1356617427

CMS ownership CORPORATE DIRECTOR
Sandeep Sharma, M.D. Internal Medicine Physician · Rockville, MD · NPI 1194734376

CMS ownership ADP OF THE SNF
Flagship Rehabilitation, Inc Physical Therapist · Middletown, PA · NPI 1649311523

CMS ownership ADP OF THE SNF
Flagship Rehabilitation, Inc Physical Therapist · Lake Ridge, VA · NPI 1699259382

CMS ownership ADP OF THE SNF

Facilities with the same owner 2

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

Ingleside at Rock Creek, Inc Skilled Nursing Facility · Washington, DC · NPI 1770578288

CMS ownership SILVERBLOOM CONSULTING, LLC
Westminster Presbyterian Retirement Community, Inc. Skilled Nursing Facility · Lake Ridge, VA · NPI 1134180334

CMS ownership SILVERBLOOM CONSULTING, LLC · WESTMINSTER INGLESIDE KING FARM RETIREMENT COMMUNITIES INC

Affiliated clinicians 3

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

Asima S. Cheema, M.D Hospitalist Physician · Ashton, MD · NPI 1144583808

Care Compare affiliation Nursing home
Sandeep Sharma, M.D. Internal Medicine Physician · Rockville, MD · NPI 1194734376

Care Compare affiliation Nursing home
Merlyn K Vemury, M.D. Internal Medicine Physician · Silver Spring, MD · NPI 1790842540

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Ingleside at King Farm CCN 215353
Overall star rating: ★★★★★ 5 of 5
Health inspections: ★★★★☆ 4 of 5
Staffing: ★★★★★ 5 of 5
Quality measures: ★★★★★ 5 of 5
Type: Medicare and Medicaid
Ownership: Non profit - Other
Certified: Jun 30, 2009
Medicare certification status: Active (Provider of Services file)
Certified beds: 45 · 35.7 residents per day on average
Chain: Ingleside Engaged Living (2 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
21D1098484	Ingleside at King Farm 701 King Farm Blvd, Rockville, MD 20850	Certificate of waiver	Apr 20, 2027
21D2192924	Ingleside at King Farm Assisted Living 701 King Farm Blvd, Rockville, MD 20850	Certificate of waiver	Sep 15, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Skilled nursing facility certification: CCN 215353

Legal name: KING FARM PRESBYTERIAN RETIREMENT COMMUNITY, INC.
Doing business as: INGLESIDE AT KING FARM
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Jun 30, 2009
Last certification: Feb 19, 2025
Beds: 45
Ownership / control type: Other Nonprofit
Multi-facility organization: Ingleside
Organization structure: Corporation · Non-profit
Incorporated: Apr 1, 2013 in MD
Enrollment address: 701 King Farm Blvd
Rockville, MD 20850-6165
Nursing home name: INGLESIDE AT KING FARM
Affiliated entity: INGLESIDE ENGAGED LIVING

All disclosed owners & managing parties 36

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
Dusanka Delovska-Trajkova Individual	Corporate Officer Cio	Jan 1, 2013
Jennifer Hauge Individual	Corporate Director Board Member	Jan 1, 2022
Akbert Tesfay Individual	Adp of the SNF	Dec 5, 2023
John Kreutzer Individual	Corporate Director Board Member	Jan 1, 2018
Deborah Thomas Individual	Adp of the SNF	Jul 20, 2020
Jonathan Kearney Individual	Corporate Director Board Member	Feb 1, 2025
Baker Tilly US LLP Organization · Madison, WI	Adp of the SNF	Jan 1, 2015
Morinatu Ajibike Adeniyi-Oladapo Individual	Operational/Managerial Control	May 31, 2022
Morinatu Ajibike Adeniyi-Oladapo Individual	Adp of the SNF	May 31, 2022
Kenya Bryant Individual	Operational/Managerial Control	Aug 1, 2022
Kenya Bryant Individual	Adp of the SNF	Aug 1, 2022
Nathaniel Massey Individual	Corporate Director Board Member	Jan 1, 2025
Westminster Ingleside King Farm Retirement Communities Inc Organization · Rockville, MD Non-profit	5% Or Greater Direct Ownership Interest	Dec 6, 2012	100%
	Operational/Managerial Control	Jun 1, 2011
	Adp of the SNF	Dec 22, 2025
Christine Mour Individual	Corporate Officer Coo	Aug 24, 2015
Bruce Bartels Individual	Corporate Director Board Member	Mar 4, 2015
Tish Stalnaker Individual	Operational/Managerial Control	Jan 4, 2016
Tish Stalnaker Individual	Adp of the SNF	Jan 4, 2016
Margaret Cecchine Individual	Corporate Director Board Member	Apr 1, 2023
Marsh & McLennan Companies Organization · Boston, MA Investment firm	Adp of the SNF	Oct 1, 2023
Lynn O'Connor Individual	Corporate Officer Ceo and President	Jul 1, 2010
Maria Liwanag Individual	Operational/Managerial Control	Mar 5, 2024
Maria Liwanag Individual	Adp of the SNF	Mar 5, 2024
Ruth Katz Individual	Corporate Director Board Member	Jan 1, 2024
Silverbloom Consulting, LLC Organization · Wyomissing, PA LLC, Consulting firm	Operational/Managerial Control	Nov 1, 2021
	Adp of the SNF	Dec 16, 2025
Sally Cox Individual	Corporate Director Board Member	Jan 1, 2018
Spring Healthcare Inc Organization · Gaithersburg, MD Medical staffing company	Adp of the SNF	Dec 1, 2024
Flagship Rehabilitation, Inc Organization · Cumberland, MD Medical provider/supplier	Adp of the SNF	Sep 1, 2010
Baker Tilly Advisory Group LP Organization · Madison, WI Consulting firm	Adp of the SNF	Jan 1, 2015
Amanda Massetti Individual	Operational/Managerial Control	Apr 11, 2020
Amanda Massetti Individual	Adp of the SNF	Apr 11, 2020
Steven Wagner Individual	Corporate Director Board Member	Jan 1, 2017
Donald Boardman Individual	Corporate Director Board Member	Jan 1, 2024
Sandeep Sharma Individual	Adp of the SNF	Dec 4, 2025
Phillip David Magidson Individual	Corporate Director Board Member	Jan 1, 2023
Howard Gleckman Individual	Corporate Director Board Member	Jan 1, 2024
Traci Alley Individual	Corporate Officer Chief Human Resources/Compliance	Aug 2, 2021
Elizabeth Ortiz Individual	Corporate Director Board Member	Jan 1, 2025
Lynn Green Individual	Operational/Managerial Control	Mar 14, 2024
Lynn Green Individual	Adp of the SNF	Mar 14, 2024
Gregg Johnson Individual	Corporate Director Board Member	Jan 1, 2021
Nancy Kuhn Individual	Corporate Director Board Member	Oct 7, 2015
Richter and Associates Organization · Twinsburg, OH Corporation, Management services company, Consulting firm	Adp of the SNF	Nov 10, 2015

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20090204000627	MD	Part a Provider - Skilled Nursing Facility	2961566054	Practice locations: Rockville, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X			Yes

Addresses

Primary practice location

701 King Farm Blvd
Rockville, MD 20850-5728

Mailing address

701 King Farm Blvd
Rockville, MD 20850-5728
Phone (240) 499-9015

Other names

Ingleside at King Farm Doing business as

Other providers in Rockville, MD

All providers in Rockville, MD · Skilled Nursing Facility in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.