NPIMap

Organization Active NPI

Hillhaven SNF Operator LLC

  • Skilled Nursing Facility
  • Adelphi, MD
National Provider Identifier
1184312100
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HILLHAVEN SNF OPERATOR LLC
Practice address
3210 Powder Mill Rd
Adelphi, MD 20783-1029
Phone
(240) 542-6361
NPI assigned
Apr 27, 2023
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Jeffrey Kagan
Title
Authorized Signer
Phone
(732) 961-8432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3210 Powder Mill Rd
Adelphi, MD 20783-1029

Mailing address

3210 Powder Mill Rd
Adelphi, MD 20783-1029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230912001225 MD Part A Provider - Skilled Nursing Facility 9638533573 Practice locations: Adelphi, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184312100. Details of each certification follow.

Skilled nursing facility certification: CCN 215212

Legal name
HILLHAVEN SNF OPERATOR LLC
Doing business as
STERLING CARE HILLHAVEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1989
Last certification
May 25, 2022
Beds
66
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
3210 Powder Mill Rd
Adelphi, MD 20783-1029
Nursing home name
STERLING CARE HILLHAVEN
Affiliated entity
STERLING CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sterling Care HillhavenCCN 215212 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6657.4 residents per day on average
Chain
Sterling Care6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
NMJ Irrv TR II Organization, Surfside, FL 5% Or Greater Indirect Ownership Interest Aug 1, 2023 33.25%
Siyo Holdings LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2023 10%
NMJ Holdings LLC Organization, Baltimore, MD LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2023 35%
Jeffrey H Kagan Individual Corporate OfficerPresident Aug 1, 2023
W-2 Managing EmployeeManager Aug 1, 2023
Hillhaven Operator Holdco, LLC Organization, Silver Spring, MD LLC 5% Or Greater Direct Ownership Interest Aug 1, 2023 100%
Jek Holdings LLC Organization, Silver Spring, MD LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2023 35%
Jek Irrv TR II Organization, Silver Spring, MD 5% Or Greater Indirect Ownership Interest Aug 1, 2023 33.25%
Yoni Grunbaum Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 10%

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 3

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 4

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": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1184312100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 POWDER MILL RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 POWDER MILL RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831029",
            "telephone_number": "240-542-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLHAVEN SNF OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "732-961-8432"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

Verify at the official NPI Registry.