NPIMap

Organization Active NPI

Charlestown Community, Inc.

  • Skilled Nursing Facility
  • Catonsville, MD
National Provider Identifier
1932166360
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
03-063 Issued in MD
Legal business name
CHARLESTOWN COMMUNITY, INC.
Practice address
709 Maiden Choice LN
Attn: Extended Care Administrator
Catonsville, MD 21228-3934
Phone
(410) 247-3400
Fax
(410) 204-7237
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Clara G Parker
Title
Secretary
Phone
(410) 737-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 03-063 MD Primary

Addresses

Primary practice location

709 Maiden Choice LN
Attn: Extended Care Administrator
Catonsville, MD 21228-3934

Mailing address

715 Maiden Choice LN
Attn: Executive Director
Catonsville, MD 21228-5999
Phone (410) 247-3400

Other names 1

  • Charlestown Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070329000242 MD Part A Provider - Skilled Nursing Facility 6901705201 Practice locations: Catonsville, MD

Skilled nursing facility certification: CCN 215223

Legal name
CHARLESTOWN COMMUNITY, INC
Doing business as
CHARLESTOWN CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1990
Last certification
Jul 14, 2023
Beds
207 (103 certified)
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 22, 1982 in MD
Enrollment address
709 Maiden Choice Lane
Attn Extended Care Administrator
Catonsville, MD 21228-3934
Nursing home name
CHARLESTOWN COMMUNITY INC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Charlestown Community IncCCN 215223
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10383.0 residents per day on average

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
21D0703872Charlestown Care Center709 Maiden Choice Lane, Catonsville, MD 21228Certificate of waiverDec 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cci-CHH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

709 Maiden Choice Ln
Catonsville, MD 21228
Phone (410) 247-3400

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Susan M Gibbons Individual Corporate OfficerAssistant Secretary May 14, 2015
Maksim Mendelzon Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
David a Schneyer Individual Corporate OfficerTreasurer Feb 12, 2025
Operational/Managerial Control Feb 12, 2025
Adp of the SNF Feb 12, 2025
Robin F Moore Individual Corporate OfficerAssistant Vice President Dec 11, 2015
Alison Brown Individual Corporate DirectorBoard Member May 15, 2024
Charles Gamble Individual Corporate DirectorBoard Member Aug 1, 1990
Richard M Barnes Individual Corporate DirectorBoard Member Nov 6, 2008
Stephen Schimpff Individual Corporate DirectorBoard Member Feb 8, 2023
Patricia M Kasuda Individual Corporate DirectorBoard Member Jan 1, 2021
Myla M Carpenter Individual Operational/Managerial Control Dec 5, 2010
Adp of the SNF Mar 31, 2025
Richard Grove Individual Corporate OfficerChairperson & President Nov 1, 2018
Corporate DirectorBoard Member Mar 30, 2006
David Cooney Individual Corporate OfficerVice Chairperson Nov 1, 2018
Corporate DirectorBoard Member Mar 30, 2006
Don E Grove Individual Corporate OfficerSecretary Jan 20, 2023
Operational/Managerial Control Jan 20, 2023
Christopher M McNally Individual Corporate DirectorBoard Member Mar 1, 2021
Robert Chrencik Individual Corporate DirectorBoard Member May 13, 2026
Erickson Senior Living LLC Organization, Catonsville, MD LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Nov 23, 2020 100%
Adp of the SNF Jun 4, 2025
Christian Sweetser Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Cynthia a Kelleher Individual Corporate DirectorBoard Member May 13, 2026
Linda Woolf Individual Corporate DirectorBoard Member May 15, 2024
Organization, Catonsville, MD Adp of the SNF May 7, 2025
Indirect Ownership Interest Feb 16, 1983
Joshua Savadove Individual Corporate DirectorBoard Member May 13, 2026
Doug R Brown Individual Corporate OfficerAssistant Vice President May 7, 2025
Paul F Edelman Individual Corporate OfficerAssistant Vice President Apr 7, 2022
Organization, Baltimore, MD Adp of the SNF Dec 1, 2010
Mitchell G Lomax Individual Corporate DirectorBoard Member Feb 1, 2023
Heidi Abdelhady Individual Corporate DirectorBoard Member Oct 27, 2021
Gladstone Stevens Individual Corporate DirectorBoard Member May 13, 2026
Joanne E Pollak Individual Corporate DirectorBoard Member Mar 30, 1990

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 26

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1932166360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MAIDEN CHOICE LN",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285999",
            "telephone_number": "410-247-3400",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MAIDEN CHOICE LN",
            "address_2": "ATTN: EXTENDED CARE ADMINISTRATOR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283934",
            "telephone_number": "410-247-3400",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTOWN COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "410-737-8838"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03-063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlestown Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.