Active NPI
Crownsville Health Care LLC
Doing business as Fairfield Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Crownsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CROWNSVILLE HEALTH CARE LLC
- Doing business as
- Fairfield Nursing and Rehabilitation Center
- Practice address
- 1454 Fairfield Loop Rd
Crownsville, MD 21032-2006 - Phone
- (410) 923-6820
- Fax
- (410) 987-9157
- NPI assigned
- Aug 18, 2016
- Last updated
- Feb 10, 2026
- 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
- Charles Woodberry
- Title
- President
- Phone
- (410) 923-6820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MD | Primary |
Addresses
Primary practice location
1454 Fairfield Loop Rd
Crownsville, MD 21032-2006
Mailing address
1454 Fairfield Loop Rd
Crownsville, MD 21032-2006
Phone (410) 923-6820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300157100 | Medicaid | MD |
Other names 1
- Fairfield Nursing and Rehabilitation 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 |
|---|---|---|---|---|
| O20170223001837 | MD | Part A Provider - Skilled Nursing Facility | 1456635127 | Practice locations: Crownsville, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649725797. Details of each certification follow.
Skilled nursing facility certification: CCN 215236
- Legal name
- CROWNSVILLE HEALTH CARE LLC
- Doing business as
- FAIRFIELD NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 11, 1991
- Last certification
- May 3, 2024
- Beds
- 96
- Ownership / control type
- Corporation
- Multi-facility organization
- THI of Maryland, LLC
- Organization structure
- LLC
- Enrollment address
- 1454 Fairfield Loop Rd
Crownsville, MD 21032-2006 - Nursing home name
- FAIRFIELD NURSING & REHABILITATION CENTER
- Affiliated entity
- FUNDAMENTAL HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fairfield Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 11, 1991
- Medicare certification status
- Active
- Certified beds
- 96
- Chain
- Fundamental Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Crownsville Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Fairfield Nursing and Rehabilitation Center
- Occupational Therapist
- Crownsville, MD
- NPI 1780117127
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Charles Woodbury | Corporate Officer | Feb 16, 2018 | |
| W-2 Managing Employee | Feb 16, 2018 | ||
| Maryland Long Term Care LLC | 5% Or Greater Direct Ownership Interest | Mar 18, 2016 | 100% |
| Murray Forman | 5% Or Greater Indirect Ownership Interest | Mar 28, 2006 | |
| Thi of Baltimore, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 18, 2016 | 100% |
| Hunt Valley Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 9, 2010 | 100% |
Facilities with the same owner 40
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Berlin Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Berlin, MD
- NPI 1861947913
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Forest Haven Nursing Home
- Skilled Nursing Facility
- Catonsville, MD
- NPI 1508316126
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Allegany Health Nursing and Rehabilitation
- Skilled Nursing Facility
- Cumberland, MD
- NPI 1780139816
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Devlin Manor Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Cumberland, MD
- NPI 1194270256
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Northhampton Manor Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Frederick, MD
- NPI 1366997421
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Julia Manor Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Hagerstown, MD
- NPI 1780139840
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Villa Rosa Nursing and Rehabilitation
- Skilled Nursing Facility
- Mitchellville, MD
- NPI 1508311663
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Oakland Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Oakland, MD
- NPI 1447705595
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Moran Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Westernport, MD
- NPI 1770038838
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Restore Health Rehabilitation Center
- Skilled Nursing Facility
- White Plains, MD
- NPI 1518412675
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
dba Central Desert Behavioral Health Center
- Psychiatric Hospital
- Albuquerque, NM
- NPI 1427330679
Hunt Valley Holdings LLC
-
dba Bennettsville Health and Rehabilitation Center
- Skilled Nursing Facility
- Bennettsville, SC
- NPI 1770285710
Hunt Valley Holdings LLC, Thi of Baltimore, Inc.
Practitioners & affiliated clinicians
Practitioners 4
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
- Hanover, MD
- NPI 1174151948
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1447281308
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1275953242
-
- Physical Medicine & Rehabilitation Physician
- Rockville, MD
- NPI 1629574173
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Rockville, MD
- NPI 1629574173
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1649725797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 FAIRFIELD LOOP RD",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "210322006",
"telephone_number": "410-923-6820",
"fax_number": "410-987-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 FAIRFIELD LOOP RD",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "210322006",
"telephone_number": "410-923-6820",
"fax_number": "410-987-9157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWNSVILLE HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "WOODBERRY",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-923-6820"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300157100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairfield Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crownsville, MD
- Chrysalis House, Inc.
- Community After Birth
- Comprehensive Rehab Consultants PLLC
- William Michael Copeland, MS, RN, CRNP, CEN
- Crownsville Foot and Ankle Center LLC
- Crownsville Health Care LLC (Fairfield Nursing and Rehabilitation Center)
- Betsy Gill Crozier, PH.D.
- Maryellen Davis
- Sonya Warren Davis
- Patricia Ann Deltuva, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.