Lexington Park MD Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEXINGTON PARK MD OPCO LLC

Practice address

21412 Great Mills Rd
Lexington Park, MD 20653-1203

Phone

(301) 863-7244

NPI assigned

Sep 5, 2022

Organization subpart

No

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

Authorized official

Name

Moshe Mayer

Title

Manager

Phone

(301) 863-7244

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Skilled nursing facility certification: CCN 215142

Legal name

LEXINGTON PARK MD OPCO LLC

Doing business as

CHESAPEAKE SHORES NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1982

Last certification

May 15, 2024

Beds

125

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Lunar Healthcare

Organization structure

LLCProprietary

Enrollment address

21412 Great Mills Rd
Lexington Park, MD 20653-1203

Nursing home name

CHESAPEAKE SHORES NURSING CENTER

Listed as

Chesapeake Shores Nursing CenterCCN 215142

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 1, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12592.5 residents per day on average

Penalties (3 years)

1Fines totaling $47,254

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Chesapeake Shores Nursing Center2 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.

• Lexington Park MD Opco LLC

  • Rehabilitation Clinic/Center
  • Lexington Park, MD
  • NPI 1255028007
  NPD tax ID

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Moishe Mayer

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
  • NPI 1770019192

  Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership
• Shahana Nasreen Karim, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1275591141

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Shahana Nasreen Karim, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1275591141
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shahana Nasreen Karim, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1275591141

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1720709157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21412 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21412 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531203",
            "telephone_number": "301-863-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PARK MD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-863-7244"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Nathan Kott, DDS
• Bambii Kreal, CAC-AD
• Kristi Larson
• Shannon Rae Leghart, MAT, LAT, ATC ,BSAS
• Lexington Park MD Opco LLC
• Lexington Park Optometry, LLC
• Linda S Ball Counseling LCPC
• Julie Logan, LCSW-C
• LP Lexington Park LLC
• Vicki Joan Majors, LCSW

• Skilled Nursing Facility in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.

Verify at the official NPI Registry.