Organization Active NPI

The Army Distaff Foundation Inc

  • Skilled Nursing Facility
  • Washington, DC
National Provider Identifier
1316946668
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
HFD020022 Issued in DC
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

Updated by the provider on Jun 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
030037400MedicaidDC

Other names 1

  • Knollwood Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HSCCCN 095026 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 28, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6939.5 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
09D0896019Knollwood6200 Oregon Avenue NW, Washington, DC 20015Certificate of waiverDec 26, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Dennis Olaniyi Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Gladstone N James Individual 5% Or Greater Indirect Ownership Interest May 24, 2024
Corporate DirectorChief Financial Officer May 22, 2025
Indirect Ownership Interest May 22, 2024
Stefanie R Fletcher Individual Corporate Officer Mar 23, 2023
Operational/Managerial Control Sep 18, 2025
Gilbert E Daniel Individual 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "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

Sources for this page

Verify at the official NPI Registry.