NPIMap

Organization Active NPI

Adelphi Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Adelphi, MD
National Provider Identifier
1659904738
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ADELPHI NURSING AND REHABILITATION CENTER LLC
Practice address
1801 Metzerott Rd
Adelphi, MD 20783-5101
Phone
(301) 434-0500
NPI assigned
Feb 18, 2020
Last updated
Apr 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Israel Birnbaum
Title
Owner
Phone
(732) 905-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1801 Metzerott Rd
Adelphi, MD 20783-5101

Mailing address

1801 Metzerott Rd
Adelphi, MD 20783-5101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200515000222 MD Part A Provider - Skilled Nursing Facility 3072944677 Practice locations: Adelphi, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659904738. Details of each certification follow.

Skilled nursing facility certification: CCN 215064

Legal name
ADELPHI NURSING AND REHABILITATION CENTER LLC
Doing business as
ADELPHI NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 17, 1968
Last certification
Feb 11, 2025
Beds
170
Ownership / control type
Corporation
Most recent change of ownership
Mar 1, 2020
Organization structure
LLCProprietary
Enrollment address
1801 Metzerott Rd
Adelphi, MD 20783-5101
Nursing home name
ADELPHI NURSING AND REHABILITATION CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Adelphi Nursing and Rehabilitation CenterCCN 215064 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 17, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
170164.6 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain

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
21D0664269Adelphi Nursing & Rehabilitation1801 Metzerott Road, Adelphi, MD 20783Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Ismd Holdings LLC Organization, Jackson, NJ LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2020 47.37%
MLMD Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2020 47.37%
Israel M Birnbaum Individual Corporate OfficerCeo Mar 1, 2020
W-2 Managing Employee Mar 1, 2020
Tortuga Health Holdco LLC Organization, Rockville, MD LLC 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Miro Investments LLC Organization, Jackson, NJ LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2020 5%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

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 3

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1659904738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 METZEROTT RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 METZEROTT RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835101",
            "telephone_number": "301-434-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELPHI NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-905-6440"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

Verify at the official NPI Registry.