Active NPI
Wicomico Nursing Home
- Nursing Facility/Intermediate Care Facility
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 22006
- 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, 2025
- 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
- Mrs. Mary E Schwartz
- Title
- Administrator
- Phone
- (410) 742-8896
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Government
- 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 Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Sep 24, 1972
- Medicare certification status
- Active
- Certified beds
- 102
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0718687 | Wicomico Nursing Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Stacy Booth | Operational/Managerial Control | Nov 27, 2020 | 100% |
| Patricia a Leone-Tincher | Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Salisbury, MD
- NPI 1033177852
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
- Wicomico County Health Department
- Wicomico County Health Department
- Wicomico County Health Department
- Wicomico County Health Dept
- Wicomico County Health Dept
- Jeffrey M Wieland, M.D.
- Anita G Wiest, L.C.S.W.; L.C.A.D.C.
- Marsha Yvette Wiggins, LCSW-C
- Virginia Paige Wildmann, CRNP
- Taylor Joseph Wiley, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.