NPIMap

Organization Active NPI

Green House Residence Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1700313798
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER LLC
Practice address
1010 E 33Rd St
Baltimore, MD 21218-3780
Phone
(410) 554-9890
NPI assigned
May 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Authorized official

Name
Israel Birnbaum
Title
Owner
Phone
(718) 650-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1010 E 33Rd St
Baltimore, MD 21218-3780

Mailing address

585 Prospect St Ste 304
Lakewood, NJ 08701-5073

Other names 1

  • The Nursing and Rehabilitation Center at Stadium Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170626000973 MD Part A Provider - Skilled Nursing Facility 8325316896 Practice locations: Baltimore, MD

Skilled nursing facility certification: CCN 215356

Legal name
GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER, LLC
Doing business as
THE NURSING AND REHABILITATION CENTER AT STADIUM PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 13, 2012
Last certification
Jan 23, 2023
Beds
49
Ownership / control type
Corporation
Multi-facility organization
Medical Facilities of America
Organization structure
LLCProprietary
Incorporated
Apr 28, 2017 in DE
Enrollment address
1010 East 33Rd Street
Baltimore, MD 21218-3780
Nursing home name
THE NURSING AND REHAB CENTER AT STADIUM PLACE
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Nursing and Rehab Center at Stadium PlaceCCN 215356
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 13, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4950.5 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
21D2036273Nursing and Rehab Center at Stadium Place, the1010 E 33Rd Street, Baltimore, MD 21218Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Green House Residence Care and Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Israel M Birnbaum Individual 5% Or Greater Direct Ownership Interest Jul 7, 2021 23.68%
Operational/Managerial ControlManager Jul 7, 2021
Moshe Y Scheiner Individual 5% Or Greater Direct Ownership Interest Jul 1, 2015 25%
Laurie Netzer Individual 5% Or Greater Direct Ownership Interest Jul 7, 2021 23.68%
Michael J Halpern Individual 5% Or Greater Direct Ownership Interest Jul 1, 2015 25%

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1700313798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 PROSPECT ST STE 304",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 33RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183780",
            "telephone_number": "410-554-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-650-0219"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Nursing and Rehabilitation Center at Stadium Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.