Carriage Hill Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CARRIAGE HILL OPCO LLC

Practice address

5215 W Cedar LN
Bethesda, MD 20814-1548

Phone

(301) 897-5500

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Derek Vucich

Title

Manager

Phone

(919) 439-0695

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Skilled nursing facility certification: CCN 215234

Legal name

CARRIAGE HILL OPCO LLC

Doing business as

CARRIAGE HILL BETHESDA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 8, 1991

Last certification

Jan 17, 2025

Beds

108

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Feb 28, 2022 in MD

Enrollment address

5215 W Cedar LN
Bethesda, MD 20814-1548

Nursing home name

CARRIAGE HILL BETHESDA

Affiliated entity

VIERRA COMMUNITIES

Listed as

Carriage Hill BethesdaCCN 215234

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 8, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

108104.6 residents per day on average

Chain

Vierra Communities3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Truong Bao, M.D.

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1972553394
  NPD (past)
• Memona Tazamal, M.D.

  • Family Medicine Physician
  • Wheaton, MD
  • NPI 1669733754
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Truong Bao, M.D.

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1972553394

  Nursing home

  Care Compare affiliation
• Neha Batta, M.D.

  • Internal Medicine Physician
  • Chevy Chase, MD
  • NPI 1386056190

  Nursing home

  Care Compare affiliation
• Memona Tazamal, M.D.

  • Family Medicine Physician
  • Wheaton, MD
  • NPI 1669733754

  Nursing home

  Care Compare affiliation
• Nardos Fikru Asfaw, M.D.

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1952796351

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1457008245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141548",
            "telephone_number": "301-897-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIAGE HILL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "VUCICH",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-439-0695"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Foote Carr, CRNP
• Russell Bryant Carr, M.D.
• Jamie T Carreno Davidson, PHD
• Leslie Carrese, LCSW-C
• Carriage Hill - Bethesda, Inc.
• Matthew Kenneth Carrillo
• Nuria Carrillo, M.D.
• Anfeni Carroll
• Martha Carroll, PT
• Nicole Sherron Carter-Loebig, MD, CNM

• Skilled Nursing Facility in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.

Verify at the official NPI Registry.