NPIMap

Organization Active NPI

Catonsville Health Care LLC

  • Skilled Nursing Facility
  • Catonsville, MD
National Provider Identifier
1508316126
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CATONSVILLE HEALTH CARE LLC
Practice address
701 Edmondson Ave
Catonsville, MD 21228-4443
Phone
(410) 747-7425
NPI assigned
Oct 6, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Simiat Adeyemi
Title
President
Phone
(410) 747-7425

Corporate family (same tax ID) 1

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

Facilities with the same owner 40

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

View all 40

Practitioners 2

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.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Forest Haven Nursing and Rehabilitation CtrCCN 215252
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
167111.1 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
2Fines totaling $273,754

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170216000121 MD Part a Provider - Skilled Nursing Facility 0941583041 Practice locations: Catonsville, MD

Skilled nursing facility certification: CCN 215252

Medicare enrollment files
Legal name
CATONSVILLE HEALTH CARE LLC
Doing business as
FOREST HAVEN NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1993
Last certification
Aug 2, 2022
Beds
167
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Fundamental
Organization structure
LLCProprietary
Enrollment address
701 Edmondson Ave
Catonsville, MD 21228-4443
Nursing home name
FOREST HAVEN NURSING AND REHABILITATION CTR
Affiliated entity
FUNDAMENTAL HEALTHCARE

All disclosed owners & managing parties 5

Medicare enrollment files

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%
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%
Minirutu Coker-Lawal Individual Corporate OfficerPresident Jan 1, 2023
W-2 Managing EmployeeAdministrator Jan 1, 2023
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%

National Provider Directory

National Provider Directory
Tax ID family
Catonsville Health Care LLC (2 organizations share this tax ID)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

701 Edmondson Ave
Catonsville, MD 21228-4443

Mailing address

701 Edmondson Ave
Catonsville, MD 21228-4443
Phone (410) 747-7425

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
424420600MedicaidMD

Other names 1

NPPES NPI Registry
  • Forest Haven Nursing Home Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2026.

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1508316126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EDMONDSON AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284443",
            "telephone_number": "410-747-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EDMONDSON AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284443",
            "telephone_number": "410-747-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATONSVILLE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "SIMIAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-747-7425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424420600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Haven Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.