Organization Active NPI

Riderwood Village, Inc.

  • Skilled Nursing Facility
  • Silver Spring, MD
National Provider Identifier
1730146929
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
16-040 Issued in MD
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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)CodeLicenseStatePrimary
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. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riderwood VillageCCN 215343 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 6, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4462.4 residents per day on average
Chain
Erickson Senior Living17 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
21D1005166Ehwc Riderwood Village3160 Gracefield Rd, Silver Spring, MD 20904Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Outpatient Rehabilitation Agency at Riderwood Village4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

NameRoleSinceShare
Russel N Sharp Individual Corporate DirectorBoard Member Apr 1, 2023
Ian Brown Individual Corporate DirectorBoard Member Apr 1, 2023
National Senior Communities, Inc Organization, Catonsville, MD Corporation, Non-profit 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 Individual Corporate DirectorBoard Member Apr 1, 2025
Linda W Wanner Individual Corporate DirectorBoard Member Apr 1, 2023
Michael Roskiewicz Individual Corporate DirectorBoard Member Apr 1, 2019
Patricia Brown Individual Corporate OfficerChair & President Apr 1, 2023
Corporate DirectorBoard Member Apr 1, 2022
Stephanie L Reel Individual Corporate DirectorBoard Member Apr 22, 2013
Neal a Gantert Individual Corporate OfficerAssistant Treasurer Apr 1, 2018
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Mary D Colins Individual Corporate OfficerSecretary Apr 1, 2019
Corporate DirectorBoard Member Apr 1, 2018
Daniel Tyler Individual Corporate OfficerAssistant Treasurer Apr 1, 2025
Eileen G Erstad Individual Corporate OfficerVice Chair/Vice President/Treasurer Apr 1, 2023
Corporate DirectorBoard Member Feb 15, 2007
Meagan Loomis Individual Operational/Managerial Control Sep 29, 2025
Adp of the SNF Sep 29, 2025
Mary Moscato Individual Corporate DirectorBoard Member Apr 1, 2024
Monty C Leonard Individual Corporate DirectorBoard Member Apr 1, 2022
Daniel Wallick Individual Corporate DirectorBoard Member Apr 1, 2025
Pamela Paulk Individual Corporate DirectorBoard Member Apr 1, 2022
Erickson Senior Living LLC Organization, Catonsville, MD LLC Operational/Managerial Control Nov 23, 2020 100%
Adp of the SNF Mar 12, 2025
Christian Sweetser Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Lynne D Diggs Individual Operational/Managerial Control Aug 5, 2019
Adp of the SNF Mar 12, 2025
John Hall Individual Corporate OfficerAsst. Treasurer Apr 30, 2010
Operational/Managerial Control Apr 30, 2010
Adp of the SNF Apr 30, 2010
Katherine L Clupper Individual Corporate DirectorBoard Member Apr 1, 2024
Zina Jacque Individual Corporate DirectorBoard Member Apr 1, 2018
Richard a Butler Individual Operational/Managerial Control Jan 1, 2014
Scott R Sawicki Individual Corporate OfficerAssistant Secretary Apr 1, 2024
Mark D Embley Individual Corporate OfficerAssistant Treasurer Oct 27, 2021
Operational/Managerial Control Oct 27, 2021
Adp of the SNF Oct 27, 2021
Pamela Stiner Individual Corporate OfficerAssistant Treasurer 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.

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 26

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.

Affiliated clinicians 7

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": "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

Sources for this page

Verify at the official NPI Registry.