Organization Active NPI

Maplewood Park Retirement Services Inc

  • Skilled Nursing Facility
  • Bethesda, MD
National Provider Identifier
1275582140
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
15-065 Issued in MD
Legal business name
MAPLEWOOD PARK RETIREMENT SERVICES INC
Practice address
9707 Old Georgetown Rd
Bethesda, MD 20814-1745
Phone
(301) 530-0500
Fax
(301) 571-7411
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mr. Tony J. Harris
Title
Senior Reimbursement Manager
Phone
(703) 854-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 15-065 MD Primary

Addresses

Primary practice location

9707 Old Georgetown Rd
Bethesda, MD 20814-1745

Mailing address

9707 Old Georgetown Rd
Bethesda, MD 20814-1745
Phone (015) 300-5003

Other names 1

  • Maplewood Park Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120110000475 IN Part A Provider - Skilled Nursing Facility 2466363999 Practice locations: Bethesda, MD

Skilled nursing facility certification: CCN 215287

Legal name
MAPLEWOOD PARK RETIREMENT SERVICES INC
Doing business as
MAPLEWOOD PARK PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 7, 1996
Last certification
Mar 10, 2025
Beds
31
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
9707 Old Georgetown Rd
Bethesda, MD 20814-1745
Nursing home name
MAPLEWOOD PARK PLACE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maplewood Park PlaceCCN 215287
Overall star rating
5 of 5
Health inspections
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 7, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3117.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0912406Maplewood Park Place9707 Old Georgetown Road, Bethesda, MD 20814Certificate of waiverApr 6, 2027
21D2300516Maplewood Park Place Assisted Living9707 Old Georgetown Rd, Bethesda, MD 20814Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Michael J. Dorazio Individual Corporate OfficerTreasurer Feb 16, 2024
Corporate DirectorTreasurer Feb 16, 2024
Catherine May Individual Corporate OfficerMember Apr 1, 2013
Corporate DirectorMember Apr 1, 2013
Ravi Passi Individual Operational/Managerial Control Jun 1, 2018
Adp of the SNF Jun 1, 2018
Edward Frantz Individual Operational/Managerial ControlVP & Secretary of the Board, SSLS Jan 16, 2015
Adp of the SNF Jan 16, 2015
Barbara Harry Individual Operational/Managerial ControlExecutive Director Aug 20, 2005
Adp of the SNF Aug 20, 2005
Denise Falco Individual Operational/Managerial ControlPresident of the Board, SSLS Inc Aug 23, 2022
Adp of the SNF Aug 23, 2022
Damien J. O'Riordan Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Anna Moretti Individual Corporate OfficerMember Feb 1, 2023
Corporate DirectorMember Feb 1, 2023
Patricia R. Royal Individual Operational/Managerial ControlVice President, Accounting Jan 1, 2025
Adp of the SNF Jan 1, 2025
Richard C. Hotvedt Individual Corporate OfficerPresident Feb 16, 2024
Corporate DirectorPresident Feb 16, 2024
Wendy Sekel Individual Operational/Managerial ControlVice President of the Board, SSLS Aug 30, 2017
Adp of the SNF Aug 30, 2017
Andrew H Coelho Individual Operational/Managerial ControlVice President of the Board, SSLS Oct 12, 2009
Adp of the SNF Oct 12, 2009
David W Painter Individual Operational/Managerial ControlVP & Treasurer of the Board, SSLS Feb 11, 2011
Adp of the SNF Feb 11, 2011
Elizabeth W. Gallagher Individual Corporate OfficerMember Feb 14, 2023
Corporate DirectorMember Feb 14, 2023
Sharon L Parver Individual Corporate OfficerVice President Apr 1, 2008
Corporate DirectorVice President Apr 1, 2008
Sunrise Senior Living Services Inc Organization, MC Lean, VA Corporation, Management services company, For-profit Operational/Managerial Control Jun 27, 1994
Adp of the SNF May 21, 2025
Leslie B Fried Individual Corporate OfficerSecretary Feb 1, 2004
Corporate DirectorSecretary Feb 1, 2004
Anja R. Wells Individual Operational/Managerial ControlVice President of the Board, SSLS Aug 23, 2022
Adp of the SNF Aug 23, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1275582140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141745",
            "telephone_number": "015-300-5003",
            "fax_number": "301-571-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141745",
            "telephone_number": "301-530-0500",
            "fax_number": "301-571-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD PARK RETIREMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "15-065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Park Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.