NPIMap

Organization Active NPI

Largo Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Largo, MD
National Provider Identifier
1275161853
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LARGO NURSING AND REHABILITATION CENTER LLC
Practice address
600 Largo Rd
Largo, MD 20774-2122
Phone
(301) 350-5555
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Israel Birnbaum
Title
Authorized Rep
Phone
(718) 650-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

600 Largo Rd
Largo, MD 20774-2122

Mailing address

600 Largo Rd
Largo, MD 20774-2122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200611000213 MD Part A Provider - Skilled Nursing Facility 4981025343 Practice locations: Largo, MD

Skilled nursing facility certification: CCN 215331

Legal name
LARGO NURSING AND REHABILITATION CENTER LLC
Doing business as
LARGO NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 20, 2000
Last certification
Feb 6, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
600 Largo Rd
Largo, MD 20774-2122
Nursing home name
LARGO NURSING AND REHABILIATION CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Largo Nursing and Rehabiliation CenterCCN 215331
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 20, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130124.1 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain
Penalties (3 years)
2Fines totaling $72,514

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

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
Ismd Holdings LLC Organization, Jackson, NJ LLC 5% Or Greater Indirect Ownership Interest May 1, 2021 47.37%
MLMD Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 1, 2021 47.37%
Israel M Birnbaum Individual Corporate Director Mar 1, 2020
W-2 Managing Employee Mar 1, 2020
Tortuga Health Holdco LLC Organization, Rockville, MD LLC 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Miro Investments LLC Organization, Jackson, NJ LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2020 5%

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1275161853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LARGO RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LARGO RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742122",
            "telephone_number": "301-350-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARGO NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "718-650-0219"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.