Active NPI
Little Sisters of the Poor Baltimore Inc
- Nursing Facility/Intermediate Care Facility
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 21D0649848
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032707700 | Medicaid | MD | |
| 21D0649848 | Other | MD | CLIA |
| 215354 | Other | MD | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Poor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- May 1, 2010
- Medicare certification status
- Active
- Certified beds
- 20
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Mar 7, 2025 | ||
| Deborah Brusche | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Marie Piche | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Adp of the SNF | Mar 18, 2025 | ||
| Adp of the SNF | Mar 6, 2025 | ||
| Barbara Jean Pocock | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Adp of the SNF | Mar 4, 2025 | ||
| Adp of the SNF | Nov 8, 2021 | ||
| Adp of the SNF | Mar 4, 2025 | ||
| Adp of the SNF | May 26, 2024 | ||
| Adp of the SNF | Mar 10, 2025 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Mar 6, 2025 | ||
| Lois Kleibusch | Corporate Officer | Jul 1, 2024 | |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2023 | ||
| Adp of the SNF | Mar 6, 2025 | ||
| Adp of the SNF | May 1, 2023 | ||
| Adp of the SNF | Mar 10, 2025 | ||
| Adp of the SNF | Sep 1, 2024 | ||
| Adp of the SNF | Apr 3, 2025 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| 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.
-
- Family Medicine Physician
- Lutherville Timonium, MD
- NPI 1356679138
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Lutherville Timonium, MD
- NPI 1356679138
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.