Active NPI
Magnolia Gardens LLC
- Skilled Nursing Facility
- Lanham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 16-011
- Legal business name
- MAGNOLIA GARDENS LLC
- Practice address
- 6710 Mallery Dr
Lanham, MD 20706-3964 - Phone
- (301) 552-2000
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T. Berg
- Title
- Secretary
- Phone
- (505) 468-4752
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16011 | MD | |
| Skilled Nursing Facility | 314000000X | 16-011 | MD | Primary |
Addresses
Primary practice location
6710 Mallery Dr
Lanham, MD 20706-3964
Mailing address
6710 Mallery Dr
Lanham, MD 20706-3964
Phone (301) 552-2000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0529622 | Other | AENTA-HMO | |
| 08952 | Other | AMERIGROUP | |
| 7100074 | Other | UNITED - AMERICHOICE | |
| 345178 | Other | UNITED - MAMSI | |
| 818989700 | Medicaid | MD | |
| HV1 | Other | CAREFIRST BLUECHOICE | |
| 028F | Other | CAREFIRST PROV/INQ# | |
| HV1 | Other | CAREFIRST IND/PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050416000045 | MD | Part A Provider - Skilled Nursing Facility | 8820035264 | Practice locations: Lanham, MD |
Skilled nursing facility certification: CCN 215108
- Legal name
- MAGNOLIA GARDENS LLC
- Doing business as
- MAGNOLIA CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1977
- Last certification
- Apr 30, 2024
- Beds
- 130
- Ownership / control type
- Partnership
- Multi-facility organization
- Genesis Healthcare
- Organization structure
- LLC
- Incorporated
- Feb 23, 1996 in MD
- Enrollment address
- 8200 Good Luck Road
Magnolia Center
Lanham, MD 20706-3511 - Nursing home name
- DOCTORS COMMUNITY REHABILITATION AND PATIENT CARE
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Doctors Community Rehabilitation and Patient Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Mar 1, 1977
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- Genesis Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Magnolia Gardens LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Lanham, MD
- NPI 1346699071
-
- Skilled Nursing Facility
- Lanham, MD
- NPI 1518483239
Ownership & related parties
All disclosed owners & managing parties 25
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Jun 1, 2024 | |
| Magnolia JV LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2014 | 50% |
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 10.8% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Sadia N Baqai | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Adp of the SNF | Mar 24, 2025 | ||
| Diane Louise Morris | Operational/Managerial Control | Dec 23, 2023 | |
| Adp of the SNF | Dec 27, 2023 | ||
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Adp of the SNF | Mar 24, 2025 | ||
| GHC JV Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2014 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 5.2% |
| John C Brice | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 65.3% |
| Doctors Community Health Ventures Inc | 5% Or Greater Indirect Ownership Interest | May 1, 2014 | 50% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 10.8% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 7.6% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 7.6% |
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Dec 1, 2012 | |
| Magnolia Gardens LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 100% |
| Welltower Inc | 5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 5.7% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Harrisburg, PA
- NPI 1144556846
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 177
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1487962536
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Waldorf, MD
- NPI 1861673428
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Brooklyn Park, MD
- NPI 1609058171
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Bowie, MD
- NPI 1760598155
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Baltimore, MD
- NPI 1558318386
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC JV Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitat
-
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Cumberland, RI
- NPI 1891977625
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Dallastown, PA
- NPI 1336859040
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Jersey Shore, PA
- NPI 1063122778
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
- Skilled Nursing Facility
- Huntington, WV
- NPI 1912181223
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lanham, MD
- NPI 1316263692
-
- Family Nurse Practitioner
- Hagerstown, MD
- NPI 1912543893
-
- Nurse Practitioner
- Hanover, MD
- NPI 1578990693
-
- Geriatric Medicine (Internal Medicine) Physician
- Harrisburg, PA
- NPI 1144556846
-
- Family Nurse Practitioner
- Biloxi, MS
- NPI 1518235142
-
- Family Nurse Practitioner
- Novi, MI
- NPI 1528551223
-
- Physician Assistant
- Houston, TX
- NPI 1194713610
-
- Family Nurse Practitioner
- Dover, DE
- NPI 1598311896
-
- Physician Assistant
- San Francisco, CA
- NPI 1689962581
Affiliated clinicians 17
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Hagerstown, MD
- NPI 1912543893
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Rockville, MD
- NPI 1760523179
Nursing home
-
- Family Nurse Practitioner
- Clayton, NC
- NPI 1053922294
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Harrisburg, PA
- NPI 1144556846
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1891737573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 MALLERY DR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063964",
"telephone_number": "301-552-2000",
"fax_number": "610-612-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 MALLERY DR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063964",
"telephone_number": "301-552-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA GARDENS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "505-468-4752"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "16011",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "16-011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA-HMO",
"identifier": "0529622",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "08952",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED - AMERICHOICE",
"identifier": "7100074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED - MAMSI",
"identifier": "345178",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "818989700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "HV1",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST PROV/INQ#",
"identifier": "028F",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST IND/PPO",
"identifier": "HV1",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.