NPIMap

Organization Active NPI

Homewood Living Williamsport, Inc.

  • Skilled Nursing Facility
  • Williamsport, MD
National Provider Identifier
1811993116
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
21008 Issued in MD
Legal business name
HOMEWOOD LIVING WILLIAMSPORT, INC.
Practice address
16505 Virginia Ave
Williamsport, MD 21795-1321
Phone
(301) 582-1628
Fax
(301) 582-1815
NPI assigned
Jun 22, 2005
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Mrs. Rusty L. Mitchell
Title
Site Director
Phone
(301) 582-1628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 21008 MD Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

16505 Virginia Ave
Williamsport, MD 21795-1321

Mailing address

16505 Virginia Ave
Williamsport, MD 21795-1321
Phone (301) 582-1628

Other identifiers 2

IdentifierTypeStateIssuer
217447200MedicaidMD
21D0649913OtherMDCLIA

Other names 2

  • Homewood at Williamsport MD, Inc. Former legal business name
  • Homewood at Williamsport Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000450 MD Part A Provider - Skilled Nursing Facility 2769649888 Practice locations: Williamsport, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811993116. Details of each certification follow.

Skilled nursing facility certification: CCN 215225

Legal name
HOMEWOOD LIVING WILLIAMSPORT, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1990
Last certification
Aug 9, 2024
Beds
82
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Homewood Living Ministries
Organization structure
CorporationNon-profit
Enrollment address
16505 Virginia Avenue
Williamsport, MD 21795-1321
Nursing home name
HOMEWOOD LIVING WILLIAMSPORT
Affiliated entity
HOMEWOOD RETIREMENT CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Homewood Living WilliamsportCCN 215225 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8278.3 residents per day on average
Chain
Homewood Retirement Centers4 facilities in the chain
Penalties (3 years)
1Fines totaling $42,266

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Richard Miller Individual Corporate DirectorVice President of Operations Jan 15, 2021 100%
Wendy Crampton Individual Corporate DirectorVice President of Finance Mar 1, 2019 100%
Steve Zoretich Individual Corporate Director Dec 1, 2024
Karen Howser Individual Corporate Director Dec 1, 2024
David Brumbelow Individual Corporate Director Jan 1, 2024
Thad D Rothrock Individual Corporate DirectorCeo Mar 1, 2019 100%
Michael C Line Individual Corporate DirectorBoard of Directors Jan 1, 2019
Allen Ditto Individual Corporate Director Jan 1, 2011
Adp of the SNF Jan 31, 2025
Randy Scott Individual Corporate DirectorBoard Member Jan 1, 2022
Russell Mitchell Individual Operational/Managerial Control Dec 1, 2025
Adp of the SNF Jan 29, 2026

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 5

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": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1811993116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 VIRGINIA AVE",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217951321",
            "telephone_number": "301-582-1628",
            "fax_number": "301-582-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16505 VIRGINIA AVE",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217951321",
            "telephone_number": "301-582-1628",
            "fax_number": "301-582-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWOOD LIVING WILLIAMSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "301-582-1628",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "21008",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217447200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "21D0649913",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewood at Williamsport MD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Homewood at Williamsport",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Homewood at Williamsport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamsport, MD

Sources for this page

Verify at the official NPI Registry.