Active NPI
2101 Fairland Road Operations LLC
Doing business as Fairland Center
- Skilled Nursing Facility
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 15-012
- Legal business name
- 2101 FAIRLAND ROAD OPERATIONS LLC
- Doing business as
- Fairland Center
- Practice address
- 2101 Fairland Rd
Silver Spring, MD 20904-5427 - Phone
- (301) 384-6161
- NPI assigned
- Sep 22, 2010
- Last updated
- Aug 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T. Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 15-012 | MD | Primary |
Addresses
Primary practice location
2101 Fairland Rd
Silver Spring, MD 20904-5427
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151027400 | Medicaid | MD | |
| 553206000 | Medicaid | MD |
Other names 1
- Fairland Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110106001028 | MD | Part A Provider - Skilled Nursing Facility | 3971792938 | Practice locations: Silver Spring, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1487962536. Details of each certification follow.
Skilled nursing facility certification: CCN 215015
- Legal name
- 2101 FAIRLAND ROAD OPERATIONS LLC
- Doing business as
- FAIRLAND CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Apr 27, 2021
- Beds
- 92
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Aug 20, 2010 in MD
- Enrollment address
- 2101 Fairland Road
Silver Spring, MD 20904-5472 - Nursing home name
- FAIRLAND CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fairland Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 92
- Chain
- Genesis Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- 2101 Fairland Road Operations LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Fairland Center
- Physical Therapist
- Silver Spring, MD
- NPI 1598119976
-
dba Fairland Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1134126303
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Jun 1, 2024 | |
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 21% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Ravi Passi | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Feb 5, 2025 | ||
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Genesis Operations III LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2011 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 100% |
| Adp of the SNF | Feb 24, 2025 | ||
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 100% |
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 5.7% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 21% |
| John Bangura | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 5, 2025 | ||
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 12% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 11.4% |
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Dec 1, 2012 | |
| GHC Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 25, 2012 | 100% |
| Adp of the SNF | Feb 24, 2025 | ||
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1114921665
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 178
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Waldorf Center
- Skilled Nursing Facility
- Waldorf, MD
- NPI 1861673428
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Hammonds Lane Center
- Skilled Nursing Facility
- Brooklyn Park, MD
- NPI 1609058171
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Larkin Chase Center
- Skilled Nursing Facility
- Bowie, MD
- NPI 1760598155
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt
-
dba Franklin Woods Center
- Skilled Nursing Facility
- Baltimore, MD
- NPI 1558318386
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Lanham, MD
- NPI 1891737573
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
dba Marmet Center
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Abbeyville Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Grandview Center
- Skilled Nursing Facility
- Cumberland, RI
- NPI 1891977625
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Dallastown Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Dallastown, PA
- NPI 1336859040
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Valley Center
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Jersey Shore Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Jersey Shore, PA
- NPI 1063122778
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Heritage Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1912181223
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Glenn Dale, MD
- NPI 1831128750
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1487639142
-
- Psychiatric/Mental Health Nurse Practitioner
- Easton, MD
- NPI 1396457537
-
- Physician Assistant
- Houston, TX
- NPI 1194713610
-
- Internal Medicine Physician
- Washington, DC
- NPI 1023000775
Affiliated clinicians 2
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": "1285113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567036800000",
"number": "1487962536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-347-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 FAIRLAND RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045427",
"telephone_number": "301-384-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "2101 FAIRLAND ROAD OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-22",
"last_updated": "2019-08-29",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4752"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "15-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151027400",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "553206000",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairland Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fairland Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Silver Spring, MD
- 12325 New Hampshire Avenue Operations LLC (Springbrook Center)
- 1St Agile Homecare LLC
- 1St Medical Pain Management Specialists (1st Medical Painrehab Center)
- 2015 East West Highway Operations LLC (Fox Chase Rehabilitation and Nursing Center)
- 2101 Fairland Road Opco, LLC
- 2101 Fairland Road Operations LLC (Fairland Center)
- 2501 Musgrove Road Opco LLC
- 3227 Bel Pre Road Operations LLC (Layhill Center)
- 3227 Bel Pre Road Operations LLC (Layhill Center)
- 3H Behavioral Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.