NPIMap

Organization Active NPI

State of Maryland Central Payroll Bureau

Doing business as Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families

  • Skilled Nursing Facility
  • Charlotte Hall, MD
National Provider Identifier
1356032734
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STATE OF MARYLAND CENTRAL PAYROLL BUREAU
Doing business as
Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families
Practice address
29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042
Phone
(301) 884-8171
NPI assigned
May 17, 2023
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF MARYLAND CENTRAL PAYROLL BUREAUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Peter Pantzer
Title
Chief of Staff
Phone
(410) 260-3867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042

Mailing address

16 Francis St FL 4
Annapolis, MD 21401-1772
Phone (410) 260-3867

Other names 1

  • Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230609000664 MD Part A Provider - Skilled Nursing Facility 7416859327 Practice locations: Charlotte Hall, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356032734. Details of each certification follow.

Skilled nursing facility certification: CCN 215161

Legal name
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Doing business as
CHARLOTTE HALL VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 17, 1986
Last certification
Aug 15, 2022
Beds
286
Ownership / control type
Limited Liability Corporation
Organization structure
GovernmentNon-profit
Enrollment address
29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042
Nursing home name
CHARLOTTE HALL VETERANS HOME

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Charlotte Hall Veterans HomeCCN 215161 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 17, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
286210.0 residents per day on average
Penalties (3 years)
1Fines totaling $66,671

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
John L Gildner Regional Institute for Children and Adolescents83 organizations share this tax ID, including this one
Part of
John L Gildner Regional Institute for Children and Adolescents

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

16 Francis St
Fl 4
Annapolis, MD 21401

630 W Fayette St
#P
Baltimore, MD 21201
Phone (410) 209-6204

310 Gay St
Cambridge, MD 21613
Phone (410) 228-4417

5262 Woods Rd
Cambridge, MD 21613
Phone (410) 221-2300

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622
Phone (301) 844-8171

1520 Crownsville Rd
Crownsville, MD 21032
Phone (301) 594-7378

10102 Country Club Rd SE
#B
Cumberland, MD 21502
Phone (301) 777-2240

6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 970-7000

6655 Sykesville Rd
Bldg 3RD
Sykesville, MD 21784
Phone (410) 876-1990

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Tina Larose Individual Operational/Managerial Control Apr 26, 2025
Adp of the SNF Apr 26, 2025
Pruitthealth Veteran Services - Maryland, Inc. Organization, Norcross, GA Corporation, For-profit Operational/Managerial Control Jun 6, 2023 100%
Adp of the SNF Apr 21, 2025
Peter Pantzer Individual Corporate OfficerChief of Staff Jun 6, 2023
Adp of the SNF Jun 6, 2023
Shahana Karim Individual Adp of the SNF Jun 6, 2023
Comptroller of Maryland Central Payroll Bureau Organization, Annapolis, MD 5% Or Greater Direct Ownership Interest Jun 6, 2023 100%
Operational/Managerial Control Jun 6, 2023
Adp of the SNF Jun 6, 2023
Direct Ownership Interest Jun 6, 2023 100%
Sharon L Murphy Individual Corporate DirectorDirector, Veterans Home Program Mar 2, 2026

Owners & managing parties with NPI records 12

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

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thomas B. Finan CenterCumberland, MD, CCN 214012 Hospital Operational/Managerial Control (100%) Oct 8, 1978
Spring Grove Hospital CenterCatonsville, MD, CCN 214018 Hospital Operational/Managerial Control (100%) Jun 15, 1981
Springfield Hospital CenterSykesville, MD, CCN 214004 Hospital Operational/Managerial Control (100%) Nov 14, 1994
Western Maryland Hospital CenterHagerstown, MD, CCN 212002 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Western Maryland S.N.C.F.Hagerstown, MD, CCN 215110 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 1966
Deer's Head Hospital CenterSalisbury, MD, CCN 215132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 122

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.

View all 122

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1356032734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FRANCIS ST FL 4",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011772",
            "telephone_number": "410-260-3867",
            "fax_number": "410-216-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29449 CHARLOTTE HALL RD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223042",
            "telephone_number": "301-884-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "PANTZER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "410-260-3867"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte Hall, MD

Sources for this page

Verify at the official NPI Registry.