Organization Active NPI

Hebrew Home of Greater Washington Inc

  • Skilled Nursing Facility
  • Rockville, MD
National Provider Identifier
1235124579
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
15-015 Issued in MD
Legal business name
HEBREW HOME OF GREATER WASHINGTON INC
Practice address
6121 Montrose Road
Attn. Finance and Accouting Department
Rockville, MD 20852-4803
Phone
(301) 770-8366
Fax
(301) 816-7747
NPI assigned
Sep 13, 2005
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Mr. Bruce J. Lederman, J.D.
Title
Coo
Phone
(301) 770-8433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 15-015 MD Primary

Addresses

Primary practice location

6121 Montrose Road
Attn. Finance and Accouting Department
Rockville, MD 20852-4803

Mailing address

6121 Montrose Road
Rockville, MD 20852-4803
Phone (301) 770-8366

Other identifiers 1

IdentifierTypeStateIssuer
155557000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040326000670 DC Part B Supplier - Clinic/Group Practice 2264324060 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Rockville, MD
O20080529000537 MD Part A Provider - Skilled Nursing Facility 2264324060 Practice locations: Rockville, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235124579. Details of each certification follow.

Skilled nursing facility certification: CCN 215071

Legal name
HEBREW HOME OF GREATER WASHINGTON INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 29, 1969
Last certification
Feb 7, 2025
Beds
558
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 2, 2001 in MD
Enrollment address
6121 Montrose Road
Attn: Cfo's Office
Rockville, MD 20852-4803
Nursing home name
HEBREW HOME OF GREATER WASHINGTON

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hebrew Home of Greater WashingtonCCN 215071 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 29, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
558405.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hebrew Home of Greater Washington Podiatry Group8 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.

Locations

6121 Montrose Rd
Ofc
Rockville, MD 20852
Phone (301) 770-8438

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
David Freishtat Individual Corporate DirectorBoard Member May 11, 2011
Jeffrey Puretz Individual Corporate DirectorBoard Member May 1, 2015
James T Gumer Individual Corporate DirectorBoard Member May 1, 2008
Pearl Lake Individual Corporate DirectorBoard Member May 1, 2015
Jacquelin Rams Individual Corporate DirectorBoard Member May 1, 2017
Natalie West Individual Corporate DirectorBoard Member Sep 1, 2017
Irving Cohen Individual Corporate DirectorBoard Member May 1, 1997
Alison Baraf Individual Corporate DirectorBoard Member May 1, 2017
Karen Stettes Individual W-2 Managing EmployeeDivision Controller May 15, 2017
Andrew Friedlander Individual Corporate DirectorBoard Member May 1, 1995
Jeffrey Distenfeld Individual Corporate DirectorBoard Member May 1, 2003
David Samuels Individual Corporate DirectorBoard Member May 1, 1999
Harry Harrison Individual Corporate DirectorBoard Member May 1, 2003
Bruce Lederman Individual Corporate DirectorPresident, Ceo Jan 7, 2017
W-2 Managing EmployeePresident, Ceo Jan 7, 2017
Paula Robinson Individual Corporate DirectorBoard Member May 1, 2015
Alan Freeman Individual Corporate DirectorBoard Member May 1, 2005
Draga Dubick Individual Corporate DirectorBoard Member May 1, 2017
Marc Solomon Individual Corporate DirectorBoard Member May 1, 1989
Arthur Dykes Individual Corporate DirectorBoard Member May 1, 1995
Mark D Klaiman Individual Corporate DirectorBoard Member May 1, 2006
Samuel Sanders Individual Corporate DirectorBoard Member May 1, 2017
Terri Tanner Hill Individual Corporate DirectorSenior VP Finance, Cfo Jan 18, 2010
W-2 Managing EmployeeSenior VP Finance, Cfo Jan 18, 2010
Donald Kaplan Individual Corporate DirectorBoard Member May 1, 1998
Gary Saffitz Individual Corporate DirectorBoard Member May 1, 1994
Aaron Rulnick Individual Corporate DirectorBoard Member May 1, 2013
David Karp Individual Corporate DirectorBoard Member Mar 22, 2017
David Ruben Individual Corporate DirectorBoard Member May 1, 1997
Eric Meyers Individual Corporate DirectorBoard Member May 1, 2016
Deanna Enlow Individual Corporate DirectorSr VP Operations, Coo Dec 12, 2016
W-2 Managing EmployeeSr VP Operations, Coo Dec 12, 2016

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

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": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1235124579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 MONTROSE ROAD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524803",
            "telephone_number": "301-770-8366",
            "fax_number": "301-770-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 MONTROSE ROAD",
            "address_2": "ATTN. FINANCE AND ACCOUTING DEPARTMENT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524803",
            "telephone_number": "301-770-8366",
            "fax_number": "301-816-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBREW HOME OF GREATER WASHINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "LEDERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "301-770-8433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "15-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155557000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.