NPIMap

Organization Active NPI

Asbury Atlantic, Inc

Doing business as Asbury Solomon's Island

  • Skilled Nursing Facility
  • Solomons, MD
National Provider Identifier
1497292858
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASBURY ATLANTIC, INC
Doing business as
Asbury Solomon's Island
Practice address
11100 Asbury Cir
Solomons, MD 20688-3004
Phone
(410) 394-3000
Fax
(410) 394-3008
NPI assigned
Jan 24, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Mr. Brad Andrus, M.A, M.AGS
Title
Executive Director
Phone
(410) 394-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MD Primary

Addresses

Primary practice location

11100 Asbury Cir
Solomons, MD 20688-3004

Mailing address

11100 Asbury Cir
Solomons, MD 20688-3004
Phone (410) 394-3000

Other identifiers 1

IdentifierTypeStateIssuer
300175000MedicaidMD

Other names 1

  • Asbury Solomon's Island Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170310001389 MD Part A Provider - Skilled Nursing Facility 1759392947 Practice locations: Solomons, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497292858. Details of each certification follow.

Skilled nursing facility certification: CCN 215304

Legal name
ASBURY ATLANTIC, INC
Doing business as
ASBURY SOLOMONS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 14, 1997
Last certification
Dec 8, 2021
Beds
48
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Asbury Atlantic, Inc.
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1945 in MD
Enrollment address
11750 Asbury Circle
Solomons, MD 20688-3058
Nursing home name
ASBURY SOLOMONS
Affiliated entity
ASBURY COMMUNITIES

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Asbury SolomonsCCN 215304 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 14, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4841.5 residents per day on average
Chain
Asbury Communities5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0923020Asbury Solomons11750 Asbury Circle, Solomons, MD 20688Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Asbury Atlantic Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Veronica Hill-Milbourne Individual Corporate DirectorDirector Jan 1, 2025
Nader Tavakoli-Jalili Individual Adp of the SNF Jul 1, 2022
Barbara Harbison Individual Corporate DirectorDirector Jan 1, 2021
Todd Andrews Individual Corporate OfficerPresident Oct 4, 2020
Corporate DirectorPresident Oct 4, 2020
Asbury Communities Inc Organization, Frederick, MD Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2017 100%
Adp of the SNF Jan 2, 2025
Kelly S Friedman Individual Operational/Managerial Control Aug 6, 2018
Adp of the SNF Aug 6, 2018
Richard Shuman Individual Corporate DirectorDirector Jan 1, 2023
Andrew H Joseph Individual Corporate OfficerSecretary Mar 1, 2017
Efonda Sproles Individual Corporate DirectorDirector Jan 1, 2021
Andrew J Jeanneret Individual Corporate OfficerTreasurer Dec 7, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 7

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": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1497292858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 ASBURY CIR",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883004",
            "telephone_number": "410-394-3000",
            "fax_number": "410-394-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 ASBURY CIR",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883004",
            "telephone_number": "410-394-3000",
            "fax_number": "410-394-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURY ATLANTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-394-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A, M.AGS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300175000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asbury Solomon's Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solomons, MD

Sources for this page

Verify at the official NPI Registry.