NPIMap

Organization Active NPI

Citizens Nursing Home Board of Harford County

Doing business as Citizens Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Havre de Grace, MD
National Provider Identifier
1578566899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12003 Issued in MD
Legal business name
CITIZENS NURSING HOME BOARD OF HARFORD COUNTY
Doing business as
Citizens Care & Rehabilitation Center
Practice address
415 Market St
Havre de Grace, MD 21078-3301
Phone
(410) 939-5500
Fax
(410) 939-3471
NPI assigned
May 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter A Panos, N.H.A.
Title
Administrator
Phone
(410) 939-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12003 MD Primary

Addresses

Primary practice location

415 Market St
Havre de Grace, MD 21078-3301

Mailing address

415 Market St
Havre de Grace, MD 21078-3301
Phone (410) 939-5500

Other identifiers 1

IdentifierTypeStateIssuer
0420390001OtherNSC

Other names 1

  • CITIZENS CARE & REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060504000028 MD Part A Provider - Skilled Nursing Facility 8527078625 Practice locations: Havre de Grace, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578566899. Details of each certification follow.

Skilled nursing facility certification: CCN 215039

Legal name
CITIZENS NURSING HOME BOARD OF HARFORD COUNTY
Doing business as
CITIZENS CARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 3, 1967
Last certification
May 7, 2024
Beds
184
Ownership / control type
Other Nonprofit
Organization structure
OtherNon-profit
Incorporated
in MD
Enrollment address
415 Market St
Havre de Grace, MD 21078-3301
Nursing home name
CITIZENS CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Citizens Care CenterCCN 215039 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 3, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
184124.5 residents per day on average

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
21D0215195Citizens Nursing Home415 S Market St, Havre de Grace, MD 21078Certificate of waiverAug 31, 2026

National Provider Directory

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
Joyce Jordan Individual Corporate DirectorBoard of Directors Chairperson Oct 31, 1999 10%
James Welch Individual Corporate DirectorBoard Member Oct 31, 2016 10%
Curtis Beulah Individual Corporate DirectorBoard Member Dec 3, 2015 10%
Kimberly Zavrotny Individual Corporate DirectorBoard Member Feb 27, 2020 10%
Wendell Baxter Individual Corporate DirectorBoard Member - Treasurer Oct 31, 2012 10%
Anna Roberts Individual Corporate DirectorBoard Member - Vice Chairperson Oct 31, 2013 10%
Peter Panos Individual Operational/Managerial ControlAdministrator Nov 23, 1976
Patricia Badeker Individual Corporate DirectorBoard Member Jan 23, 2020 10%
John Correri Individual Corporate DirectorBoard Member Dec 3, 2015 10%
Cindy Moore Quimby Individual W-2 Managing EmployeeDirector of Business Operations Jun 8, 2022

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 4

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578566899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MARKET ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783301",
            "telephone_number": "410-939-5500",
            "fax_number": "410-939-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MARKET ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783301",
            "telephone_number": "410-939-5500",
            "fax_number": "410-939-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS NURSING HOME BOARD OF HARFORD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-939-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "12003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0420390001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITIZENS CARE & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.