11974 Edgehill Terrace Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

11974 EDGEHILL TERRACE OPCO LLC

Doing business as

Manokin Nursing and Rehab

Practice address

11974 Edgehill Terrace Rd
Princess Anne, MD 21853-2105

Phone

(410) 651-0011

NPI assigned

May 10, 2022

Last updated

Aug 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yechiel Hirth

Title

Ceo

Phone

(732) 744-4611

Specialties & licenses 4

Addresses

Other names 1

• Manokin Nursing and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467198788. Details of each certification follow.

• CCN 215179 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 215179

Legal name

11974 EDGEHILL TERRACE OPCO LLC

Doing business as

MANOKIN NURSING AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 11, 1988

Last certification

Aug 11, 2023

Beds

135

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Apr 7, 2022 in MD

Enrollment address

11974 Edgehill Terrace Rd
Princess Anne, MD 21853-2105

Nursing home name

MANOKIN NURSING AND REHAB

Affiliated entity

KEY HEALTH MANAGEMENT

Listed as

Manokin Nursing and RehabCCN 215179 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 11, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

135106.6 residents per day on average

Chain

Key Health Management7 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $26,685

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 1

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

• Daniel Ray Howard, MD

  • Adult Medicine Physician
  • Baltimore, MD
  • NPI 1497793673

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Daniel Ray Howard, MD

  • Adult Medicine Physician
  • Baltimore, MD
  • NPI 1497793673
  NPD (past)

Affiliated clinicians 2

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

• Brittany Ann Stevenson, FNP-BC

  • Family Nurse Practitioner
  • Salisbury, MD
  • NPI 1699308510

  Nursing home

  Care Compare affiliation
• Syed J Hassan, MD

  • Internal Medicine Physician
  • Danville, PA
  • NPI 1831726173

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1467198788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ROOSEVELT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015654",
            "telephone_number": "732-744-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11974 EDGEHILL TERRACE RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532105",
            "telephone_number": "410-651-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11974 EDGEHILL TERRACE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "HIRTH",
        "authorized_official_first_name": "YECHIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-744-4611"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manokin Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manokin Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khaled Faisal Abdul Rahman, MD
• Derionah Devondra Abner, LGPC
• Academy Taxi Service
• George Acs, DMD
• Silwat Adeel, DDS

• Skilled Nursing Facility in Princess Anne, MD
• Providers in Princess Anne, 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 Aug 14, 2023; 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.