NPIMap

Organization Active NPI

Mitchellville Health Care LLC

  • Skilled Nursing Facility
  • Mitchellville, MD
National Provider Identifier
1508311663
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MITCHELLVILLE HEALTH CARE LLC
Practice address
3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone
(301) 459-4700
Fax
(301) 459-0754
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Leon Thornton
Title
President
Phone
(301) 459-4700

Specialties & licenses 1

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

Addresses

Primary practice location

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018

Mailing address

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone (301) 459-4700

Other identifiers 1

IdentifierTypeStateIssuer
300156300MedicaidMD

Other names 1

  • Villa Rosa Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170215000098 MD Part A Provider - Skilled Nursing Facility 0941583066 Practice locations: Mitchellville, MD

Skilled nursing facility certification: CCN 215350

Legal name
MITCHELLVILLE HEALTH CARE LLC
Doing business as
VILLA ROSA NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 20, 2006
Last certification
May 31, 2024
Beds
107
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Fundamental Clinical and Operational Services
Organization structure
LLCProprietary
Enrollment address
3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Nursing home name
VILLA ROSA NURSING AND REHABILITATION, LLC
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Villa Rosa Nursing and Rehabilitation, LLCCCN 215350
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 20, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10774.0 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mitchellville Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Maryland Long Term Care LLC Organization, Sparks, MD LLC 5% Or Greater Direct Ownership Interest Mar 18, 2016 100%
Barry Grofic Individual Corporate OfficerPresident Jan 2, 2017
W-2 Managing EmployeeAdministrator/President Jan 2, 2017
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%
Thi of Baltimore, Inc. Organization, Sparks, MD Corporation 5% Or Greater Indirect Ownership Interest Mar 18, 2016 100%
Hunt Valley Holdings LLC Organization, Sparks, MD LLC 5% Or Greater Indirect Ownership Interest Feb 9, 2010 100%

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 1

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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1508311663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "301-459-4700",
            "fax_number": "301-459-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "301-459-4700",
            "fax_number": "301-459-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELLVILLE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-459-4700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300156300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Rosa Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mitchellville, MD

Sources for this page

Verify at the official NPI Registry.