NPIMap

Organization Active NPI

Randallstown Nursing & Rehab LLC

  • Pediatric Skilled Nursing Facility
  • Randallstown, MD
National Provider Identifier
1275191025
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
RANDALLSTOWN NURSING & REHAB LLC
Practice address
4511 Robosson Rd
Randallstown, MD 21133-1018
Phone
(410) 922-2443
NPI assigned
Jun 5, 2019
Last updated
Dec 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Randall Town
Title
VP
Phone
(410) 922-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X NU Primary

Addresses

Primary practice location

4511 Robosson Rd
Randallstown, MD 21133-1018

Mailing address

4511 Robosson Rd
Randallstown, MD 21133-1018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806003494 MD Part A Provider - Skilled Nursing Facility 1951638444 Practice locations: Randallstown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275191025. Details of each certification follow.

Skilled nursing facility certification: CCN 215220

Legal name
RANDALLSTOWN NURSING & REHAB LLC
Doing business as
CHAPEL HILL NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1990
Last certification
Jan 16, 2025
Beds
63
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Apr 30, 2019 in MD
Enrollment address
4511 Robosson Rd
Randallstown, MD 21133-1018
Nursing home name
CHAPEL HILL NURSING CENTER
Affiliated entity
EPHRAM LAHASKY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chapel Hill Nursing CenterCCN 215220 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6346.9 residents per day on average
Chain
Ephram Lahasky22 facilities in the chain
Penalties (3 years)
1Fines totaling $13,247

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1800 Rockaway Ave
Ste 210
Hewlett, NY 11557
Phone (516) 887-5502

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Michael M Biderman Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2019 50%
Corporate DirectorBoard Member, Vice President Aug 1, 2019
Susan Ndomteng Wasso Individual W-2 Managing EmployeeDirector of Nursing Aug 1, 2019
Baruch Chaim Giberstien Individual Corporate DirectorBoard Member Aug 1, 2019
Ephram M Lahasky Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2019 50%
Lme Family Holdings LLC Organization, Lawrence, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2019
BSD 26 Holdings LLC Organization, Hewlett, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2019
Lavern Jones Individual W-2 Managing EmployeeAdminisrator Aug 1, 2019

Facilities with the same owner 28

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

View all 28

Practitioners & affiliated clinicians

Practitioners 4

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 1

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": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1275191025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ROBOSSON RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ROBOSSON RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331018",
            "telephone_number": "410-922-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLSTOWN NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "TOWN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "410-922-2443"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.