SM Rehab
Organization Active NPI Skilled Nursing Facility · Boonsboro, MD
NPI 1750189627 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1750189627
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 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
- Organization subpart
- No
Authorized official
- Name
- Carrie Cline
- Title
- Authorized Party
- Phone
- (301) 432-5457
Owners & managing parties with NPI records 2
Facilities with the same owner 100
Practitioners 3
-
Ghulam Abbas, MD
-
Farid Murshed, MD
Affiliated clinicians 2
-
Farid Murshed, MD
Medicare Care Compare: Nursing home
- Listed as
- South Mountain Rehab Center
- 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
- Active
- Certified beds
- 157 · 125.9 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0884318 | South Mountain Rehab Center | Certificate of waiver | Mar 28, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
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
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| One Kaylor Circle MD LLC |
Adp of the SNF | Mar 1, 2025 | |
| Dialyze Direct MD LLC |
Adp of the SNF | Mar 1, 2025 | |
| MD Sans Mars 2024 Trust |
5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 25% |
| Indirect Ownership Interest | Mar 1, 2025 | 25% | |
| Brand Sonnenschine LLP |
Adp of the SNF | Mar 1, 2025 | |
| Zambry Venus 2024 Trust |
5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 25% |
| Indirect Ownership Interest | Mar 1, 2025 | 25% | |
| Steven B Hornung |
5% Or Greater Security Interest | Mar 1, 2025 | |
| Serina Sladky |
Adp of the SNF | Mar 1, 2025 | |
| Zambry Mars 2024 Trust |
5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 25% |
| Indirect Ownership Interest | Mar 1, 2025 | 25% | |
| Healthcare Services Group Inc |
Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Apr 2, 2025 | ||
| Carrie Cline |
Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Z-Radar LLC |
Adp of the SNF | Mar 1, 2025 | |
| Terri Stine |
Managing Control - Governing Body |
Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| MD Sapphire LLC |
Adp of the SNF | Mar 1, 2025 | |
| Andres Eduardo Salazar |
Managing Control - Governing Body |
Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Schiavi Wallace & Rowe PC |
Adp of the SNF | Mar 1, 2025 | |
| Aaron Noah Kaminer |
5% Or Greater Security Interest | Mar 1, 2025 | |
| MD Sans Venus 2024 Trust |
5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 25% |
| Indirect Ownership Interest | Mar 1, 2025 | 25% | |
| Oberon Core Holdings |
5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 100% |
| Indirect Ownership Interest | Mar 1, 2025 | 100% | |
| Zambry Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Indirect Ownership Interest | Mar 1, 2025 | 50% | |
| Glen Echo Holdings LLC |
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 |
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 |
Operational/Managerial Control | Mar 1, 2025 | |
| Managing Control - Governing Body |
Mar 1, 2025 | ||
| Adp of the SNF | Apr 2, 2025 | ||
| Accord Consultants |
Adp of the SNF | Mar 1, 2025 | |
| MD Sans Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Indirect Ownership Interest | Mar 1, 2025 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250701000847 | MD | Part a Provider - Skilled Nursing Facility | 4587177738 | Practice locations: Boonsboro, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
141 S Main St
Boonsboro, MD 21713-1203
Mailing address
160 Chambers Bridge Rd Unit 922
Brick, NJ 08723-2045
Other providers in Boonsboro, MD
- Joseph J Scalese III
- Vivian S Sewell
- Sean Robert Michael Sims
- Gina Sipes
- Angela M Sluzalis
- Aaron M. Smith
- Stephanie A Snyder
- South Mountain Community Health LLC
- South Mountain Family Practice LLC
- South Mountain Operator LLC
All providers in Boonsboro, MD · Skilled Nursing Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.