Active NPI
Hebrew Home of Greater Washington Inc
- Skilled Nursing Facility
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 15-015
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155557000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rockville, MD
- NPI 1497572275
O20040326000670
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hebrew Home of Greater Washington
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 29, 1969
- Medicare certification status
- Active
- Certified beds
- 558
National Provider Directory
National Provider Directory- Tax ID family
- Hebrew Home of Greater Washington Podiatry Group
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Rockville, MD
- NPI 1093894545
-
- Nursing Facility/Intermediate Care Facility
- Rockville, MD
- NPI 1770652000
-
- Nursing Facility/Intermediate Care Facility
- Rockville, MD
- NPI 1952470288
-
- Geriatric Medicine (Internal Medicine) Physician
- Rockville, MD
- NPI 1497572275
-
- Podiatrist
- Rockville, MD
- NPI 1609106897
-
- Skilled Nursing Facility
- Rockville, MD
- NPI 1417055336
-
- Skilled Nursing Facility
- Rockville, MD
- NPI 1700976685
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.
| Name | Role | Since | Share |
|---|---|---|---|
| David Freishtat | Corporate Director | May 11, 2011 | |
| Jeffrey Puretz | Corporate Director | May 1, 2015 | |
| James T Gumer | Corporate Director | May 1, 2008 | |
| Pearl Lake | Corporate Director | May 1, 2015 | |
| Jacquelin Rams | Corporate Director | May 1, 2017 | |
| Natalie West | Corporate Director | Sep 1, 2017 | |
| Irving Cohen | Corporate Director | May 1, 1997 | |
| Alison Baraf | Corporate Director | May 1, 2017 | |
| Karen Stettes | W-2 Managing Employee | May 15, 2017 | |
| Andrew Friedlander | Corporate Director | May 1, 1995 | |
| Jeffrey Distenfeld | Corporate Director | May 1, 2003 | |
| David Samuels | Corporate Director | May 1, 1999 | |
| Harry Harrison | Corporate Director | May 1, 2003 | |
| Bruce Lederman | Corporate Director | Jan 7, 2017 | |
| W-2 Managing Employee | Jan 7, 2017 | ||
| Paula Robinson | Corporate Director | May 1, 2015 | |
| Alan Freeman | Corporate Director | May 1, 2005 | |
| Draga Dubick | Corporate Director | May 1, 2017 | |
| Marc Solomon | Corporate Director | May 1, 1989 | |
| Arthur Dykes | Corporate Director | May 1, 1995 | |
| Mark D Klaiman | Corporate Director | May 1, 2006 | |
| Samuel Sanders | Corporate Director | May 1, 2017 | |
| Terri Tanner Hill | Corporate Director | Jan 18, 2010 | |
| W-2 Managing Employee | Jan 18, 2010 | ||
| Donald Kaplan | Corporate Director | May 1, 1998 | |
| Gary Saffitz | Corporate Director | May 1, 1994 | |
| Aaron Rulnick | Corporate Director | May 1, 2013 | |
| David Karp | Corporate Director | Mar 22, 2017 | |
| David Ruben | Corporate Director | May 1, 1997 | |
| Eric Meyers | Corporate Director | May 1, 2016 | |
| Deanna Enlow | Corporate Director | Dec 12, 2016 | |
| W-2 Managing Employee | 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.
-
- Orthopaedic Surgery Physician
- Silver Spring, MD
- NPI 1427299205
Corporate Director
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rockville, MD
- NPI 1790762300
DC
-
- Geriatric Medicine (Family Medicine) Physician
- Frederick, MD
- NPI 1750508958
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1790074896
DC
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rockville, MD
- NPI 1790762300
Nursing home
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
- Zoe Heath
- Robert B Heaton, Jr Jr., MD
- Hebrew Home of Greater Washington
- Hebrew Home of Greater Washington
- Hebrew Home of Greater Washington
- Hebrew Home of Greater Washington Inc
- Hebrew Home of Greater Washington Podiatry Group
- Hebrew Home/Hirsh Health Center
- Hebrew Home/Hirsh Health Center
- Hanoria Hebron
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.