Active NPI
Maplewood Park Retirement Services Inc
- Skilled Nursing Facility
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 15-065
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Place
- Overall star rating
- Health inspections
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 7, 1996
- Medicare certification status
- Active
- Certified beds
- 31
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0912406 | Maplewood Park Place | Certificate of waiver | Apr 6, 2027 |
| 21D2300516 | Maplewood Park Place Assisted Living | Certificate of waiver | Mar 11, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael J. Dorazio | Corporate Officer | Feb 16, 2024 | |
| Corporate Director | Feb 16, 2024 | ||
| Catherine May | Corporate Officer | Apr 1, 2013 | |
| Corporate Director | Apr 1, 2013 | ||
| Ravi Passi | Operational/Managerial Control | Jun 1, 2018 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Edward Frantz | Operational/Managerial Control | Jan 16, 2015 | |
| Adp of the SNF | Jan 16, 2015 | ||
| Barbara Harry | Operational/Managerial Control | Aug 20, 2005 | |
| Adp of the SNF | Aug 20, 2005 | ||
| Denise Falco | Operational/Managerial Control | Aug 23, 2022 | |
| Adp of the SNF | Aug 23, 2022 | ||
| Damien J. O'Riordan | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Anna Moretti | Corporate Officer | Feb 1, 2023 | |
| Corporate Director | Feb 1, 2023 | ||
| Patricia R. Royal | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Richard C. Hotvedt | Corporate Officer | Feb 16, 2024 | |
| Corporate Director | Feb 16, 2024 | ||
| Wendy Sekel | Operational/Managerial Control | Aug 30, 2017 | |
| Adp of the SNF | Aug 30, 2017 | ||
| Andrew H Coelho | Operational/Managerial Control | Oct 12, 2009 | |
| Adp of the SNF | Oct 12, 2009 | ||
| David W Painter | Operational/Managerial Control | Feb 11, 2011 | |
| Adp of the SNF | Feb 11, 2011 | ||
| Elizabeth W. Gallagher | Corporate Officer | Feb 14, 2023 | |
| Corporate Director | Feb 14, 2023 | ||
| Sharon L Parver | Corporate Officer | Apr 1, 2008 | |
| Corporate Director | Apr 1, 2008 | ||
| Sunrise Senior Living Services Inc | Operational/Managerial Control | Jun 27, 1994 | |
| Adp of the SNF | May 21, 2025 | ||
| Leslie B Fried | Corporate Officer | Feb 1, 2004 | |
| Corporate Director | Feb 1, 2004 | ||
| Anja R. Wells | Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1114921665
Adp of the SNF, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.