Active NPI
613 Hammonds Lane Operations LLC
Doing business as Hammonds Lane Center
- Skilled Nursing Facility
- Brooklyn Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02-009
- Legal business name
- 613 HAMMONDS LANE OPERATIONS LLC
- Doing business as
- Hammonds Lane Center
- Practice address
- 613 Hammonds LN
Brooklyn Park, MD 21225-3351 - Phone
- (410) 636-3400
- Fax
- (410) 636-1250
- NPI assigned
- Nov 27, 2007
- Last updated
- Jan 8, 2016
- 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 | 02-009 | MD | Primary |
Addresses
Primary practice location
613 Hammonds LN
Brooklyn Park, MD 21225-3351
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413985200 | Medicaid | MD |
Other names 1
- Hammonds Lane 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 |
|---|---|---|---|---|
| O20080327000178 | MD | Part A Provider - Skilled Nursing Facility | 7315029618 | Practice locations: Brooklyn Park, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609058171. Details of each certification follow.
Skilled nursing facility certification: CCN 215088
- Legal name
- 613 HAMMONDS LANE OPERATIONS LLC
- Doing business as
- HAMMONDS LANE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 11, 1972
- Last certification
- Jun 20, 2023
- Beds
- 113
- Ownership / control type
- Individual
- Multi-facility organization
- Genesis Healthcare
- Organization structure
- LLC
- Incorporated
- Aug 16, 2007 in MD
- Enrollment address
- 613 Hammonds LN
Brooklyn Park, MD 21225-3351 - Nursing home name
- HAMMONDS LANE CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hammonds Lane Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Dec 11, 1972
- Medicare certification status
- Active
- Certified beds
- 113
- Chain
- Genesis Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- 613 Hammonds Lane Operations LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Hammonds Lane Center
- Occupational Therapist
- Brooklyn Park, MD
- NPI 1871947259
-
- Skilled Nursing Facility
- Brooklyn, MD
- NPI 1366874554
Ownership & related parties
All disclosed owners & managing parties 23
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 | |
| Nicholas Johnson | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 3, 2025 | ||
| Adp of the SNF | Feb 5, 2025 | ||
| Karen Ann Cousins | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 3, 2025 | ||
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 14.73% |
| Adp of the SNF | Feb 5, 2025 | ||
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Genesis Operations LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Genesis MD Holdings LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5.81% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 52.24% |
| 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 | 17.42% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 52.24% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 8.48% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 11.15% |
| 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 | Apr 1, 2011 | 100% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Baltimore, MD
- NPI 1912921453
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 Fairland Center
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1487962536
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 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, Genesis MD Holdings LLC, Genesis Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
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, Genesis Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc
-
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, Genesis Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc
-
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, Genesis Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc
Practitioners & affiliated clinicians
Practitioners 3
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
- Baltimore, MD
- NPI 1851854244
-
- Family Medicine Physician
- Glenn Dale, MD
- NPI 1558516187
-
- Internal Medicine Physician
- Towson, MD
- NPI 1093976177
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Glenn Dale, MD
- NPI 1558516187
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452211200000",
"number": "1609058171",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 HAMMONDS LN",
"city": "BROOKLYN PARK",
"state": "MD",
"postal_code": "212253351",
"telephone_number": "410-636-3400",
"fax_number": "410-636-1250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "613 HAMMONDS LANE OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2016-01-08",
"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": "02-009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413985200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hammonds Lane Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brooklyn Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.