St. Mary's Nursing Center, Inc.

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

ST. MARY'S NURSING CENTER, INC.

Practice address

21585 Peabody Street
Leonardtown, MD 20650-2955

Phone

(301) 475-8000

Fax

(301) 475-3085

NPI assigned

Sep 9, 2005

Last updated

Jan 5, 2016By 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

Lois Annette Hodges

Title

Adminstrator

Phone

(301) 475-8000

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467446914. Details of each certification follow.

• CCN 215013 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 215013

Legal name

ST. MARY'S NURSING CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Nov 22, 2024

Beds

160

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 1, 2001 in MD

Enrollment address

21585 Peabody St
Leonardtown, MD 20650-2955

Nursing home name

ST. MARY'S NURSING CENTER INC

Listed as

St. Mary's Nursing Center IncCCN 215013 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

160117.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 13

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.

• Kirandeep Kaur, MD

  • Internal Medicine Physician
  • White Plains, MD
  • NPI 1073742102

  Contracted Managing Employee

  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.

• Kirandeep Kaur, MD

  • Internal Medicine Physician
  • White Plains, MD
  • NPI 1073742102
  NPD (past)

Affiliated clinicians 2

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

• Kirandeep Kaur, MD

  • Internal Medicine Physician
  • White Plains, MD
  • NPI 1073742102

  Nursing home

  Care Compare affiliation
• Holland Nell Laurin, PA-C

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1871753202

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1467446914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21585 PEABODY STREET",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-8000",
            "fax_number": "301-475-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21585 PEABODY STREET",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502955",
            "telephone_number": "301-475-8000",
            "fax_number": "301-475-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "301-475-8000"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "18002",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695502900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Mary's Hospital of St. Mary's County, Inc
• St. Mary's Hospital Pathology
• St. Mary's Hospital Specialists
• St. Mary's Medical Associates, LLC
• St. Mary's Multispeciality Physicians
• St.Marys County Public Schools/Infants and Toddlers Program
• Shepard Wiley Stephenson, LGPC
• Wendy Stepura
• Kathryn Franzen Sterling, APRN
• Shelly Ann Stott, PTA

• Nursing Facility Supplies (DME) in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Nursing Facility Supplies (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.