Active NPI
Roland Park Place, Inc.
- Skilled Nursing Facility
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 30AL2245
- Legal business name
- ROLAND PARK PLACE, INC.
- Practice address
- 830 W 40TH St
Attn: Finance Dept.
Baltimore, MD 21211-2116 - Phone
- (410) 243-5800
- Fax
- (410) 243-2054
- NPI assigned
- Oct 25, 2006
- 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
- Jennifer Lee Labute
- Title
- VP Health Services
- Phone
- (410) 627-9429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 30AL2245 | MD | Primary |
Addresses
Primary practice location
830 W 40TH St
Attn: Finance Dept.
Baltimore, MD 21211-2116
Mailing address
830 W 40TH St
Attn: Finance Dept.
Baltimore, MD 21211-2116
Phone (410) 243-5800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100125000134 | MD | Part A Provider - Skilled Nursing Facility | 9234271560 | Practice locations: Baltimore, MD |
Skilled nursing facility certification: CCN 215154
- Legal name
- ROLAND PARK PLACE, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- May 16, 1984
- Last certification
- Mar 17, 2021
- Beds
- 16
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 14, 1980 in MD
- Enrollment address
- 830 W 40TH St
Baltimore, MD 21211-2116 - Nursing home name
- ROLAND PARK PLACE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Roland Park Place
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- May 16, 1984
- Medicare certification status
- Active
- Certified beds
- 16
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 |
|---|---|---|---|
| 21D2276476 | Center for Successful Aging- Roland Park Place | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
830 W 40th St
Baltimore, MD 21211
Phone (410) 243-5800
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Labute | Corporate Director | Jun 30, 2022 | 5% |
| Margaret Baker | W-2 Managing Employee | Jun 1, 2021 | 5% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Infectious Disease Physician
- Lutherville, MD
- NPI 1992724603
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Ellicott City, MD
- NPI 1013204171
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766448000000",
"number": "1659455681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W 40TH ST",
"address_2": "ATTN: FINANCE DEPT.",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112116",
"telephone_number": "410-243-5800",
"fax_number": "410-243-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W 40TH ST",
"address_2": "ATTN: FINANCE DEPT.",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112116",
"telephone_number": "410-243-5800",
"fax_number": "410-243-2054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLAND PARK PLACE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A",
"authorized_official_last_name": "LABUTE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VP HEALTH SERVICES",
"authorized_official_telephone_number": "410-627-9429"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "30AL2245",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd SteB",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.