Organization Active NPI

Capitol City SNF LLC

  • Skilled Nursing Facility
  • Washington, DC
National Provider Identifier
1760028427
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAPITOL CITY SNF LLC
Practice address
2425 25TH St SE
Washington, DC 20020-3409
Phone
(202) 889-3600
NPI assigned
Nov 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Jacob Karmel
Title
Authorized Member
Phone
(845) 490-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2425 25TH St SE
Washington, DC 20020-3409

Mailing address

2425 25TH St SE
Washington, DC 20020-3409

Other names 1

  • Capitol City Rehab And Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200925001955 DC Part A Provider - Skilled Nursing Facility 7214356112 Practice locations: Washington, DC

Skilled nursing facility certification: CCN 095022

Legal name
CAPITOL CITY SNF LLC
Doing business as
CAPITOL CITY REHAB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 22, 1989
Last certification
Mar 10, 2023
Beds
360
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 1, 2020
Organization structure
LLCProprietary
Incorporated
Aug 22, 2019 in DC
Enrollment address
2425 25TH Street SE
Washington, DC 20020-3408
Nursing home name
CAPITOL CITY REHAB AND HEALTHCARE CENTER
Affiliated entity
PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Capitol City Rehab and Healthcare CenterCCN 095022
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 22, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
360289.2 residents per day on average
Chain
Prestige Healthcare Administrative Services15 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $384,200

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
09D0208805Capitol City SNF LLC2425 25TH St SE, Washington, DC 20020Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Moshe a Stern Individual 5% Or Greater Direct Ownership Interest Sep 1, 2020 10%
John C Brice Individual W-2 Managing EmployeeAdministrator of Capital City SN Sep 1, 2020
Jacob Karmel Individual 5% Or Greater Direct Ownership Interest Sep 1, 2020 90%

Practitioners & affiliated clinicians

Practitioners 3

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

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": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1760028427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 25TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 25TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203409",
            "telephone_number": "202-889-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CITY SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "KARMEL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "845-490-6060"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol City Rehab And Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.