Organization Active NPI

Little Sisters of the Poor Baltimore Inc

  • Nursing Facility/Intermediate Care Facility
  • Baltimore, MD
National Provider Identifier
1669460754
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
21D0649848 Issued in MD
Legal business name
LITTLE SISTERS OF THE POOR BALTIMORE INC
Practice address
601 Maiden Choice LN
St Martins Home
Baltimore, MD 21228-3630
Phone
(410) 744-9367
Fax
(410) 744-6380
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Sister Joseph Grenon, RN 35726
Title
Assistant Administrator
Phone
(410) 744-9367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 21D0649848 MD Primary

Addresses

Primary practice location

601 Maiden Choice LN
St Martins Home
Baltimore, MD 21228-3630

Mailing address

601 Maiden Choice LN
St Martins Home
Baltimore, MD 21228-3630
Phone (410) 744-9367

Other identifiers 3

IdentifierTypeStateIssuer
032707700MedicaidMD
21D0649848OtherMDCLIA
215354OtherMDMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091125000384 MD Part A Provider - Skilled Nursing Facility 2860531126 Practice locations: Baltimore, MD

Skilled nursing facility certification: CCN 215354

Legal name
LITTLE SISTERS OF THE POOR BALTIMORE INC
Doing business as
ADVERTISING MEDIA PLUS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 2010
Last certification
Mar 30, 2023
Beds
20
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Mar 9, 1876 in MD
Enrollment address
601 Maiden Choice Lane
Baltimore, MD 21228-3698
Nursing home name
LITTLE SISTERS OF THE POOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Little Sisters of the PoorCCN 215354 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 1, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2016.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

601 Maiden Choice Ln
Catonsville, MD 21228
Phone (301) 762-3338

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Organization, Baltimore, MD Adp of the SNF Mar 7, 2025
Deborah Brusche Individual Corporate OfficerTreasurer Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Marie Piche Individual Corporate OfficerPresident Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Organization, Columbia, MD LLC Adp of the SNF Mar 18, 2025
Organization, Finksburg, MD LLC Adp of the SNF Mar 6, 2025
Barbara Jean Pocock Individual Corporate OfficerVice President Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Organization, Quincy, MA Corporation, Medical staffing company Adp of the SNF Mar 4, 2025
Individual Adp of the SNF Nov 8, 2021
Organization, Silver Spring, MD Corporation Adp of the SNF Mar 4, 2025
Individual Adp of the SNF May 26, 2024
Organization, Chantilly, VA LLC Adp of the SNF Mar 10, 2025
Individual Adp of the SNF Jan 1, 2022
Organization, Medina, NY LLC, Consulting firm Adp of the SNF Mar 6, 2025
Lois Kleibusch Individual Corporate OfficerSecretary Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Individual Adp of the SNF Jul 1, 2023
Organization, Baltimore, MD LLC Adp of the SNF Mar 6, 2025
Individual Adp of the SNF May 1, 2023
Organization, Baltimore, MD Corporation Adp of the SNF Mar 10, 2025
Individual Adp of the SNF Sep 1, 2024
Organization, Charlotte, NC Corporation, Financial institution Adp of the SNF Apr 3, 2025
Organization, Catonsville, MD Corporation, Management services company, Non-profit Adp of the SNF Mar 31, 2025
Individual Adp of the SNF Mar 26, 2025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1669460754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAIDEN CHOICE LN",
            "address_2": "ST MARTINS HOME",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283630",
            "telephone_number": "410-744-9367",
            "fax_number": "410-744-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIDEN CHOICE LN",
            "address_2": "ST MARTINS HOME",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283630",
            "telephone_number": "410-744-9367",
            "fax_number": "410-744-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SISTERS OF THE POOR BALTIMORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "GRENON",
        "authorized_official_first_name": "SISTER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "410-744-9367",
        "authorized_official_credential": "RN 35726"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "21D0649848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032707700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "21D0649848",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "215354",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.