Active NPI
The Army Distaff Foundation Inc
- Skilled Nursing Facility
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- HFD020022
- Legal business name
- THE ARMY DISTAFF FOUNDATION INC
- Practice address
- 6200 Oregon Ave NW
Washington, DC 20015-1543 - Phone
- (202) 541-0307
- Fax
- (202) 364-2856
- NPI assigned
- Jul 19, 2005
- 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
- Mrs. Remi Ackerman
- Title
- Coo
- Phone
- (202) 541-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | HFD020022 | DC | Primary |
Addresses
Primary practice location
6200 Oregon Ave NW
Washington, DC 20015-1543
Mailing address
6200 Oregon Ave NW
Washington, DC 20015-1543
Phone (202) 541-0307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030037400 | Medicaid | DC |
Other names 1
- Knollwood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120420000144 | DC | Part A Provider - Skilled Nursing Facility | 9830350719 | Practice locations: Washington, DC |
Skilled nursing facility certification: CCN 095026
- Legal name
- THE ARMY DISTAFF FOUNDATION INC
- Doing business as
- KNOLLWOOD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 28, 1992
- Last certification
- Apr 26, 2023
- Beds
- 69
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 29, 1960 in DC
- Enrollment address
- 6200 Oregon Ave NW
Knollwood
Washington, DC 20015-1543 - Nursing home name
- KNOLLWOOD HSC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Knollwood HSC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 28, 1992
- Medicare certification status
- Active
- Certified beds
- 69
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 |
|---|---|---|---|
| 09D0896019 | Knollwood | Certificate of waiver | Dec 26, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Dennis Olaniyi | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Gladstone N James | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | |
| Corporate Director | May 22, 2025 | ||
| Indirect Ownership Interest | May 22, 2024 | ||
| Stefanie R Fletcher | Corporate Officer | Mar 23, 2023 | |
| Operational/Managerial Control | Sep 18, 2025 | ||
| Gilbert E Daniel | Adp of the SNF | Oct 21, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatric/Mental Health Nurse Practitioner
- Washington DC, DC
- NPI 1366145823
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1467401182
-
- Internal Medicine Physician
- Washington, DC
- NPI 1427326354
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": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1316946668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 OREGON AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151543",
"telephone_number": "202-541-0307",
"fax_number": "202-364-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 OREGON AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151543",
"telephone_number": "202-541-0307",
"fax_number": "202-364-2856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARMY DISTAFF FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "ACKERMAN",
"authorized_official_first_name": "REMI",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "202-541-0101",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "DC",
"license": "HFD020022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030037400",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Knollwood",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Washington, DC
- Natalie Anne Thayer, MS, CF-SLP
- The Aakoma Center, PLLC
- The Alexander Enterprise, LLC
- The Alpher Center for Sleep Disorders & Jaw Pain, P.C.
- The Arc of DC, Inc.
- The Art and Drama Therapy Institute Inc.
- The Arts and Technology Academy Public Charter School
- The Assistant, LLC
- The Association for Successful Parenting
- The Aurora's Embrace
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.