Active NPI
Riderwood Village, Inc.
- Skilled Nursing Facility
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 16-040
- Legal business name
- RIDERWOOD VILLAGE, INC.
- Doing business as
- Riderwood Village, Inc.
- Practice address
- 3160 Gracefield Road
Attn: RG Administrator
Silver Spring, MD 20904-0842 - Phone
- (301) 572-1300
- Fax
- (410) 204-7237
- NPI assigned
- May 1, 2006
- Last updated
- Jun 20, 2012
- 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
- James K Walter
- Title
- Finance Director
- Phone
- (410) 402-2315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 16-040 | MD | Primary |
Addresses
Primary practice location
3160 Gracefield Road
Attn: RG Administrator
Silver Spring, MD 20904-0842
Mailing address
3140 Gracefield Road
Attn: Executive Director
Silver Spring, MD 20904-1820
Phone (301) 572-1300
Other names 1
- Riderwood Village, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070222000179 | MD | Part A Provider - Skilled Nursing Facility | 4183611437 | Practice locations: Silver Spring, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1730146929. Details of each certification follow.
Skilled nursing facility certification: CCN 215343
- Legal name
- RIDERWOOD VILLAGE, INC.
- Doing business as
- RIDERWOOD VILLAGE, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 6, 2003
- Last certification
- Oct 18, 2023
- Beds
- 44
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 26, 1998 in MD
- Enrollment address
- 3160 Gracefield Road
Attn: Director of Continuing Care
Silver Spring, MD 20904-1986 - Nursing home name
- RIDERWOOD VILLAGE
- Affiliated entity
- ERICKSON SENIOR LIVING
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Outpatient Rehabilitation Agency at Riderwood Village
- Rehabilitation Clinic/Center
- Silver Spring, MD
- NPI 1679520662
4183611437
-
dba Riderwood Home Health Agencey
- Home Health Agency
- Silver Spring, MD
- NPI 1801904149
4183611437
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Riderwood Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 6, 2003
- Medicare certification status
- Active
- Certified beds
- 44
- Chain
- Erickson Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1005166 | Ehwc Riderwood Village | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Outpatient Rehabilitation Agency at Riderwood Village
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba skilled nursing facilities
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1033206388
-
dba Outpatient Rehabilitation Agency at Riderwood Village
- Rehabilitation Clinic/Center
- Silver Spring, MD
- NPI 1679520662
-
dba Riderwood Home Health Agencey
- Home Health Agency
- Silver Spring, MD
- NPI 1801904149
Ownership & related parties
All disclosed owners & managing parties 27
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 |
|---|---|---|---|
| Russel N Sharp | Corporate Director | Apr 1, 2023 | |
| Ian Brown | Corporate Director | Apr 1, 2023 | |
| National Senior Communities, Inc | 5% Or Greater Direct Ownership Interest | Jan 14, 2021 | 100% |
| Operational/Managerial Control | Jan 14, 2021 | ||
| Adp of the SNF | Jan 14, 2021 | ||
| William Pomeranz | Corporate Director | Apr 1, 2025 | |
| Linda W Wanner | Corporate Director | Apr 1, 2023 | |
| Michael Roskiewicz | Corporate Director | Apr 1, 2019 | |
| Patricia Brown | Corporate Officer | Apr 1, 2023 | |
| Corporate Director | Apr 1, 2022 | ||
| Stephanie L Reel | Corporate Director | Apr 22, 2013 | |
| Neal a Gantert | Corporate Officer | Apr 1, 2018 | |
| Operational/Managerial Control | Apr 1, 2018 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Mary D Colins | Corporate Officer | Apr 1, 2019 | |
| Corporate Director | Apr 1, 2018 | ||
| Daniel Tyler | Corporate Officer | Apr 1, 2025 | |
| Eileen G Erstad | Corporate Officer | Apr 1, 2023 | |
| Corporate Director | Feb 15, 2007 | ||
| Meagan Loomis | Operational/Managerial Control | Sep 29, 2025 | |
| Adp of the SNF | Sep 29, 2025 | ||
| Mary Moscato | Corporate Director | Apr 1, 2024 | |
| Monty C Leonard | Corporate Director | Apr 1, 2022 | |
| Daniel Wallick | Corporate Director | Apr 1, 2025 | |
| Pamela Paulk | Corporate Director | Apr 1, 2022 | |
| Erickson Senior Living LLC | Operational/Managerial Control | Nov 23, 2020 | 100% |
| Adp of the SNF | Mar 12, 2025 | ||
| Christian Sweetser | Operational/Managerial Control | Mar 1, 2022 | |
| Adp of the SNF | Mar 1, 2022 | ||
| Lynne D Diggs | Operational/Managerial Control | Aug 5, 2019 | |
| Adp of the SNF | Mar 12, 2025 | ||
| John Hall | Corporate Officer | Apr 30, 2010 | |
| Operational/Managerial Control | Apr 30, 2010 | ||
| Adp of the SNF | Apr 30, 2010 | ||
| Katherine L Clupper | Corporate Director | Apr 1, 2024 | |
| Zina Jacque | Corporate Director | Apr 1, 2018 | |
| Richard a Butler | Operational/Managerial Control | Jan 1, 2014 | |
| Scott R Sawicki | Corporate Officer | Apr 1, 2024 | |
| Mark D Embley | Corporate Officer | Oct 27, 2021 | |
| Operational/Managerial Control | Oct 27, 2021 | ||
| Adp of the SNF | Oct 27, 2021 | ||
| Pamela Stiner | Corporate Officer | Apr 1, 2024 | |
| Operational/Managerial Control | Apr 1, 2024 | ||
| Adp of the SNF | Apr 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1306835475
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 26
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Charlestown Care Center
- Skilled Nursing Facility
- Catonsville, MD
- NPI 1932166360
Erickson Senior Living LLC
-
dba Charlestown Home Health Agency
- Home Health Agency
- Catonsville, MD
- NPI 1992704068
Erickson Senior Living LLC
-
- Skilled Nursing Facility
- Parkville, MD
- NPI 1871555490
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Oak Crest Home Health Agency
- Home Health Agency
- Parkville, MD
- NPI 1174558910
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Riderwood Home Health Agencey
- Home Health Agency
- Silver Spring, MD
- NPI 1801904149
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Ann's Choice
- Skilled Nursing Facility
- Warminster, PA
- NPI 1114096773
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Ann's Choice Visiting Nurse Service
- Home Health Agency
- Warminster, PA
- NPI 1952489254
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Continuing Care at Ashby Ponds
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Brooksby Visiting Nurse Service
- Home Health Agency
- Peabody, MA
- NPI 1679696835
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Continuing Care at Brooksby Village
- Skilled Nursing Facility
- Peabody, MA
- NPI 1780663336
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Continuing Care at Cedar Crest Village
- Skilled Nursing Facility
- Pompton Plains, NJ
- NPI 1427015882
Erickson Senior Living LLC, National Senior Communities, Inc
-
dba Cedar Crest Village, Inc., Home Health Department
- Home Health Agency
- Pompton Plains, NJ
- NPI 1790855567
Erickson Senior Living LLC, National Senior Communities, Inc
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1629154539
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1538214382
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Silver Spring, MD
- NPI 1235175043
Nursing home
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1154528396
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340150400000",
"number": "1730146929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 GRACEFIELD ROAD",
"address_2": "ATTN: EXECUTIVE DIRECTOR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041820",
"telephone_number": "301-572-1300",
"fax_number": "410-204-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 GRACEFIELD ROAD",
"address_2": "ATTN: RG ADMINISTRATOR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209040842",
"telephone_number": "301-572-1300",
"fax_number": "410-204-7237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDERWOOD VILLAGE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2012-06-20",
"status": "A",
"authorized_official_last_name": "WALTER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "410-402-2315"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "16-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riderwood Village, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silver Spring, MD
- Beth Sperber Richie, PH.D.
- Sandrea A Rickett-Pratt
- Riderwood Village (skilled nursing facilities)
- Riderwood Village, Inc.
- Riderwood Village, Inc. (Outpatient Rehabilitation Agency at Riderwood Village)
- Riderwood Village, Inc. (Riderwood Home Health Agencey)
- Jeffrey Eric Riebman
- Lana Letitia Rigby, M.D.
- Ellen S Rigterink, M.D.
- Elise Canfield Riley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.