NPIMap

Organization Active NPI

Elkton SNF LLC

  • Skilled Nursing Facility
  • Elkton, MD
National Provider Identifier
1275022121
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELKTON SNF LLC
Practice address
1 Price Dr
Elkton, MD 21921-6731
Phone
(410) 398-6474
NPI assigned
May 7, 2018
Last updated
May 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Israel Birnbaum
Title
Authorized Official
Phone
(732) 905-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1 Price Dr
Elkton, MD 21921-6731

Mailing address

1 Price Dr
Elkton, MD 21921-6731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203001466 AL Part A Provider - Skilled Nursing Facility 7517201536 Practice locations: Elkton, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275022121. Details of each certification follow.

Skilled nursing facility certification: CCN 215269

Legal name
ELKTON SNF LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 16, 1994
Last certification
Nov 20, 2023
Beds
182
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Medical Facilities of America
Organization structure
LLCProprietary
Incorporated
Feb 6, 2018 in DE
Enrollment address
1 Price Dr
Elkton, MD 21921-6731
Nursing home name
ELKTON NURSING AND REHABILITATION CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elkton Nursing and Rehabilitation CenterCCN 215269 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 16, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
182162.9 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $31,134

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Elkton SNF LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Elkton Health Holdco LLC Organization, Elkton, MD LLC 5% Or Greater Direct Ownership Interest Nov 1, 2018 100%
Rma Equity LLC Organization, Jackson, NJ LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2018 10%
Avrohom Y Kohn Individual 5% Or Greater Indirect Ownership InterestOwner May 1, 2021 31.58%
Israel M Birnbaum Individual 5% Or Greater Indirect Ownership InterestOwner May 1, 2021 28.95%
W-2 Managing Employee Nov 1, 2018
Michele Netzer Individual 5% Or Greater Indirect Ownership InterestOwner May 1, 2021 28.95%

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 5

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 3

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": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1275022121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRICE DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRICE DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216731",
            "telephone_number": "410-398-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKTON SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-905-6440"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.