NPIMap

Organization Active NPI

Acts Communities of Maryland, Inc.

Doing business as WillowBrooke Court Skilled Care Center at Fairhaven

  • Skilled Nursing Facility
  • Sykesville, MD
National Provider Identifier
1194709121
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06001 Issued in MD
Legal business name
ACTS COMMUNITIES OF MARYLAND, INC.
Doing business as
WillowBrooke Court Skilled Care Center at Fairhaven
Practice address
7200 3Rd Ave
Sykesville, MD 21784-5201
Phone
(410) 795-8800
NPI assigned
Dec 2, 2005
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Susan Ahern
Title
SVP, Cfo
Phone
(215) 661-8330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 06AL0010 MD
Skilled Nursing Facility 314000000X 06001 MD Primary

Addresses

Primary practice location

7200 3Rd Ave
Sykesville, MD 21784-5201

Mailing address

420 Delaware Dr
Fort Washington, PA 19034-2711
Phone (267) 787-4097

Other names 1

  • WillowBrooke Court Skilled Care Center at Fairhaven Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200522002210 MD Part A Provider - Skilled Nursing Facility 1759376015 Practice locations: Sykesville, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194709121. Details of each certification follow.

Skilled nursing facility certification: CCN 215130

Legal name
ACTS COMMUNITIES OF MARYLAND, INC.
Doing business as
WILLOWBROOKE COURT SKILLED CARE CENTER AT FAIRHAVEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 5, 1981
Last certification
Jun 2, 2022
Beds
79
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Acts Communities of Maryland Inc
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1990 in MD
Enrollment address
7200 Third Ave
Sykesville, MD 21784-5201
Nursing home name
WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN
Affiliated entity
ACTS RETIREMENT-LIFE COMMUNITIES

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willowbrooke Court Skilled Care Center FairhavenCCN 215130 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 5, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7940.6 residents per day on average
Chain
Acts Retirement-Life Communities27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1027559Willowbrooke Court Skilled Care Center at Fairhave7200 Third Avenue, Sykesville, MD 21784Certificate of waiverJul 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Acts Communities of Maryland Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Susan Ahern Individual Corporate OfficerTreasurer Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodySVP, Cfo Jan 1, 2025
Adp of the SNF Jan 1, 2025
Peggy Valdivia Individual Corporate OfficerAssistant Treasurer Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyVP of Financial Services Jan 1, 2025
Adp of the SNF Jan 1, 2025
Michael Athen Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Acts Communities of Maryland, Inc. Organization, Fort Washington, PA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2022 100%
5% Or Greater Mortgage Interest Dec 31, 2022 100%
Operational/Managerial Control Dec 31, 2022
Adp of the SNF Dec 31, 2022
Karen I Christiansen Individual Corporate OfficerPresident and Chair Jan 1, 2025
Corporate DirectorPresident Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyPresident Jan 1, 2025
Adp of the SNF Jan 1, 2025
Acts Management Services, Inc. Organization, Fort Washington, PA Corporation, Management services company, Non-profit Operational/Managerial Control Dec 31, 2022
Adp of the SNF Jan 31, 2025
Indirect Ownership Interest Dec 31, 2022
Acts Legacy Foundation, Inc. Organization, Fort Washington, PA Corporation, Owned by another organization or individual Indirect Ownership Interest Dec 31, 2022
Acts Retirement-Life Communities Management, LLC Organization, Fort Washington, PA LLC, Management services company Operational/Managerial Control Dec 31, 2022
Adp of the SNF Jan 31, 2025
Indirect Ownership Interest Dec 31, 2022
Tasneem Lakhani Individual Adp of the SNF Jan 1, 2025
Baker Tilly US LLP Organization, Madison, WI Adp of the SNF Nov 5, 2024
Acts Acquisition and Development Company LLC Organization, Fort Washington, PA Created for acquisition, LLC, Owned by another organization or individual Indirect Ownership Interest Dec 31, 2022 100%
Jonathan D Grant Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyCoo Jan 1, 2025
Adp of the SNF Jan 1, 2025
Anne Forrest Individual Corporate DirectorBoard Member Jan 1, 2025
Acts Signature Community Services Inc Organization, Fort Washington, PA Corporation, Non-profit, Owned by another organization or individual Indirect Ownership Interest Dec 31, 2022
Daniel Lawson Individual Corporate DirectorBoard Member Jan 1, 2025
Bonita Springs Retirement Village Inc Organization, Fort Washington, PA Corporation, Non-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024
Harold B Detweiler Individual Corporate DirectorBoard Member Jan 1, 2025
Gerald T Grant Individual Corporate OfficerCeo and Vice Chair Jan 1, 2025
Corporate DirectorCeo Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyCeo Jan 1, 2025
Adp of the SNF Jan 1, 2025
Acts Retirement Services, Inc Organization, Fort Washington, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2022 100%
Indirect Ownership Interest Dec 31, 2022 100%
Glenn D Fox Individual Corporate OfficerSecretary Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyExecutive VP, Legal Jan 1, 2025
Adp of the SNF Jan 1, 2025
Baker Tilly Advisory Group LP Organization, Madison, WI Adp of the SNF Feb 3, 2025
U.S. Bank Organization, Philadelphia, PA Financial institution Trustee of the SNF Jul 9, 2025
Adp of the SNF Jul 10, 2025
Acts Alliance Management LLC Organization, Fort Washington, PA LLC, Management services company, Owned by another organization or individual Indirect Ownership Interest Dec 31, 2022
Ellen Paquette Individual Corporate DirectorBoard Member Jan 1, 2025
Michael Kelly Individual Corporate DirectorBoard Member Jan 1, 2025
Mease Life Inc Organization, Fort Washington, PA Corporation, Non-profit, Owned by another organization or individual Indirect Ownership Interest Oct 1, 2023
Anne Neary Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 19

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

View all 19

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willowbrooke Court Skilled Care Center at Fort Washington EstatesFort Washington, PA, CCN 395496 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Indian River EstatesVero Beach, FL, CCN 105593 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court SC Ctr at Matthews GlenMatthews, NC, CCN 345326 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court Skilled Care Center-Edgewater at Boca PointeBoca Raton, FL, CCN 105489 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at St. Andrews EstatesBoca Raton, FL, CCN 105355 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Southampton EstatesSouthampton, PA, CCN 395490 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Granite Farms EstatesMedia, PA, CCN 395736 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court SC Center at Tryon EstatesColumbus, NC, CCN 345459 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court Skilled Care Center at Normandy Farms EstatesBlue Bell, PA, CCN 395665 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court Skilled Care Center at Lima EstatesLima, PA, CCN 395492 Skilled nursing facility Indirect Ownership Interest Nov 1, 2024
Willowbrooke Court at Spring House EstatesLower Gwynedd, PA, CCN 395495 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court Skilled Care Center at Brittany Pointe EstatesLansdale, PA, CCN 395762A Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Lanier Village EstatesGainesville, GA, CCN 115687 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Azalea TracePensacola, FL, CCN 105444 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
The Cedar at Mease LifeDunedin, FL, CCN 105732 Skilled nursing facility Indirect Ownership Interest Oct 1, 2023
Willowbrooke Court Skilled Care Center at the TerracesBonita Springs, FL, CCN 106104 Skilled nursing facility Indirect Ownership Interest Nov 1, 2024
Willowbrooke Court Skilled Care Center at Magnolia TraceHuntsville, AL, CCN 015450 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Cokesbury VillageHockessin, DE, CCN 085017 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Country HouseWilmington, DE, CCN 085003 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court at Manor HouseSeaford, DE, CCN 085009 Skilled nursing facility Indirect Ownership Interest Apr 1, 2019
Willowbrooke Court Skilled Care Center at Buckingham's ChoiceAdamstown, MD, CCN 215329 Skilled nursing facility 5% Or Greater Mortgage Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Dec 31, 2022
Dec 31, 2022
Dec 31, 2022
Dec 31, 2022
Willowbrooke Court Skilled Care Center at Bayleigh ChaseEaston, MD, CCN 215137 Skilled nursing facility 5% Or Greater Mortgage Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Dec 31, 2022
Jan 1, 2025
Dec 31, 2022
Dec 31, 2022
Willowbrooke Court Skilled Care at EvergreensMoorestown, NJ, CCN 315077 Skilled nursing facility Indirect Ownership Interest Nov 1, 2024
Willowbrooke Court Skilled Care Center at Heron PointChestertown, MD, CCN 215235 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 31, 2022
Dec 31, 2022

Owned or controlled facilities with NPI records 24

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 24

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1194709121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342711",
            "telephone_number": "267-787-4097",
            "fax_number": "215-699-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 3RD AVE",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217845201",
            "telephone_number": "410-795-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTS COMMUNITIES OF MARYLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SVP, CFO",
        "authorized_official_telephone_number": "215-661-8330"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "06AL0010",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "06001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WillowBrooke Court Skilled Care Center at Fairhaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.