NPIMap

Organization Active NPI

SM Rehab

  • Skilled Nursing Facility
  • Boonsboro, MD
National Provider Identifier
1750189627
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SM REHAB
Practice address
141 S Main St
Boonsboro, MD 21713-1203
Phone
(301) 432-5457
NPI assigned
Mar 5, 2025
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Carrie Cline
Title
Authorized Party
Phone
(301) 432-5457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

141 S Main St
Boonsboro, MD 21713-1203

Mailing address

160 Chambers Bridge Rd Unit 922
Brick, NJ 08723-2045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701000847 MD Part A Provider - Skilled Nursing Facility 4587177738 Practice locations: Boonsboro, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750189627. Details of each certification follow.

Skilled nursing facility certification: CCN 215144

Legal name
SM REHAB
Doing business as
SOUTH MOUNTAIN REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1983
Last certification
Dec 20, 2024
Beds
157
Ownership / control type
Limited Liability Corporation
Organization structure
LLC
Enrollment address
141 S Main St
Boonsboro, MD 21713-1203
Nursing home name
SOUTH MOUNTAIN REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Mountain Rehab CenterCCN 215144 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
157125.9 residents per day on average

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
21D0884318South Mountain Rehab Center141 S Main Street, Boonsboro, MD 21713Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
One Kaylor Circle MD LLC Organization, New York, NY LLC Adp of the SNF Mar 1, 2025
Dialyze Direct MD LLC Organization, Neptune, NJ LLC, Medical provider/supplier Adp of the SNF Mar 1, 2025
MD Sans Mars 2024 Trust Organization, Cedarhurst, NY 5% Or Greater Indirect Ownership Interest Mar 1, 2025 25%
Indirect Ownership Interest Mar 1, 2025 25%
Brand Sonnenschine LLP Organization, Brooklyn, NY Corporation Adp of the SNF Mar 1, 2025
Zambry Venus 2024 Trust Organization, Cedarhurst, NY 5% Or Greater Indirect Ownership Interest Mar 1, 2025 25%
Indirect Ownership Interest Mar 1, 2025 25%
Steven B Hornung Individual 5% Or Greater Security Interest Mar 1, 2025
Serina Sladky Individual Adp of the SNF Mar 1, 2025
Zambry Mars 2024 Trust Organization, Cedarhurst, NY 5% Or Greater Indirect Ownership Interest Mar 1, 2025 25%
Indirect Ownership Interest Mar 1, 2025 25%
Healthcare Services Group Inc Organization, Bensalem, PA Corporation Operational/Managerial Control Mar 1, 2025
Adp of the SNF Apr 2, 2025
Carrie Cline Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Z-Radar LLC Organization, Englewood Cliffs, NJ LLC, Consulting firm Adp of the SNF Mar 1, 2025
Terri Stine Individual Managing Control - Governing BodyDirector of Nursing Mar 1, 2025
Adp of the SNF Mar 1, 2025
MD Sapphire LLC Organization, Brick, NJ LLC Adp of the SNF Mar 1, 2025
Andres Eduardo Salazar Individual Managing Control - Governing BodyMedical Director Oct 1, 2024
Adp of the SNF Oct 1, 2024
Schiavi Wallace & Rowe PC Organization, Towson, MD Adp of the SNF Mar 1, 2025
Aaron Noah Kaminer Individual 5% Or Greater Security Interest Mar 1, 2025
MD Sans Venus 2024 Trust Organization, Cedarhurst, NY 5% Or Greater Indirect Ownership Interest Mar 1, 2025 25%
Indirect Ownership Interest Mar 1, 2025 25%
Oberon Core Holdings Organization, Cedarhurst, NY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 100%
Indirect Ownership Interest Mar 1, 2025 100%
Zambry Holdings LLC Organization, Cedarhurst, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Indirect Ownership Interest Mar 1, 2025 50%
Glen Echo Holdings LLC Organization, Brick, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2025 100%
5% Or Greater Security Interest Mar 1, 2025 100%
Direct Ownership Interest Mar 1, 2025 100%
Cibc Bank USA Organization, Chicago, IL Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Mar 1, 2025 100%
Operational/Managerial Control Mar 1, 2025
Adp of the SNF Apr 2, 2025
Nicole Bohrer-Banzhoff Individual Operational/Managerial Control Mar 1, 2025
Managing Control - Governing BodyAdministrator Mar 1, 2025
Adp of the SNF Apr 2, 2025
Accord Consultants Organization, Lakewood, NJ LLC Adp of the SNF Mar 1, 2025
MD Sans Holdings LLC Organization, Cedarhurst, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Indirect Ownership Interest Mar 1, 2025 50%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 100

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

View all 100

Practitioners & affiliated clinicians

Practitioners 3

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 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": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1750189627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CHAMBERS BRIDGE RD UNIT 922",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131203",
            "telephone_number": "301-432-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "AUTHORIZED PARTY",
        "authorized_official_telephone_number": "301-432-5457"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonsboro, MD

Sources for this page

Verify at the official NPI Registry.