Organization Active NPI

Wicomico Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Salisbury, MD
National Provider Identifier
1629013925
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
22006 Issued in MD
Legal business name
WICOMICO NURSING HOME
Practice address
900 Booth St
Salisbury, MD 21801-3006
Phone
(410) 742-8896
Fax
(410) 742-4987
NPI assigned
Jun 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Mary E Schwartz
Title
Administrator
Phone
(410) 742-8896

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 22006 MD Primary
Skilled Nursing Facility 314000000X 22006 MD

Addresses

Primary practice location

900 Booth St
Salisbury, MD 21801-3006

Mailing address

PO Box 2378
Salisbury, MD 21802-2378
Phone (410) 742-8896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000044 MD Part A Provider - Skilled Nursing Facility 4284778705 Practice locations: Salisbury, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629013925. Details of each certification follow.

Skilled nursing facility certification: CCN 215007

Legal name
WICOMICO NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 24, 1972
Last certification
Aug 29, 2024
Beds
102
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
900 Booth St
Salisbury, MD 21802-2378
Nursing home name
WICOMICO NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wicomico Nursing HomeCCN 215007 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Sep 24, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10265.6 residents per day on average
Penalties (3 years)
1Fines totaling $28,343

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
21D0718687Wicomico Nursing Home900 Booth St, Salisbury, MD 21802Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Stacy Booth Individual Operational/Managerial ControlBusiness Office Manager Nov 27, 2020 100%
Patricia a Leone-Tincher Individual Operational/Managerial ControlAdministrator for the Entire Bui Aug 9, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629013925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2378",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218022378",
            "telephone_number": "410-742-8896",
            "fax_number": "410-742-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BOOTH ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013006",
            "telephone_number": "410-742-8896",
            "fax_number": "410-742-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICOMICO NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-742-8896",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "22006",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "22006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.