South River Nursing and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH RIVER NURSING AND REHAB CENTER LLC

Doing business as

South River Rehabilitation and Wellness Center

Practice address

144 Washington Rd
Edgewater, MD 21037-1412

Phone

(410) 956-5000

NPI assigned

Jan 6, 2026

Organization subpart

No

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

Authorized official

Name

Matt Kosman

Title

Authorized Official

Phone

(855) 557-1427

Specialties & licenses 1

Addresses

Other names 1

• South River Rehabilitation and Wellness Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1861359531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WASHINGTON RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371412",
            "telephone_number": "410-956-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WASHINGTON RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371412",
            "telephone_number": "410-956-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RIVER NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "KOSMAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "855-557-1427"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South River Rehabilitation and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Smith-Heine, LCPC, NCC
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• Alexa Spearman
• Jessica Lynne Stallings, CRNP-PMH, PMHNP-BC
• Statcare Group LLC (Patriot Urgent Care)
• Destinie Janerio Statum, LMSW

• Skilled Nursing Facility in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.