Organization Active NPI

Hospital for Sick Children

Doing business as Children's National Skilled Nursing Facility

  • Pediatric Skilled Nursing Facility
  • Washington, DC
National Provider Identifier
1942863758
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
HOSPITAL FOR SICK CHILDREN
Doing business as
Children's National Skilled Nursing Facility
The HSC Pediatric Skilled Nursing Facility
Practice address
1731 Bunker Hill Rd NE
Washington, DC 20017-3096
Phone
(202) 832-4400
Fax
(301) 752-1582
NPI assigned
Apr 17, 2019
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Deborah C Holson
Title
Chief Operating Officer
Phone
(202) 832-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X NU Primary

Addresses

Primary practice location

1731 Bunker Hill Rd NE
Washington, DC 20017-3096

Mailing address

1731 Bunker Hill Rd NE
Washington, DC 20017-3096
Phone (202) 832-4400

Other names 2

  • Children's National Skilled Nursing Facility Doing business as
  • The HSC Pediatric Skilled Nursing Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190701001984 DC Part A Provider - Skilled Nursing Facility 1254488943 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942863758. Details of each certification follow.

Skilled nursing facility certification: CCN 095040

Legal name
HOSPITAL FOR SICK CHILDREN
Doing business as
CHILDREN'S NATIONAL SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 6, 2019
Last certification
Aug 8, 2024
Beds
16
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 2019 in DC
Enrollment address
1731 Bunker Hill Rd NE
Washington, DC 20017-3026
Nursing home name
THE HSC PEDIATRIC SKILLED NURSING FACILITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
The HSC Pediatric Skilled Nursing FacilityCCN 095040 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 6, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
16

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hospital for Sick Children4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Phillicia Nelson Individual Corporate DirectorExec Dir, Payor Financial Relations Jul 1, 2024
Donna L Epps Individual Operational/Managerial Control Sep 6, 2023
Adp of the SNF Sep 6, 2023
Childrens National Medical Center Organization, Washington, DC Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2019 100%
Adp of the SNF May 2, 2025
Indirect Ownership Interest Sep 1, 2019 100%
Michelle M Riley-Brown Individual Corporate OfficerPresident Jul 1, 2023
Deborah C Holson Individual Corporate OfficerChief Operating Officer Jun 1, 2015

Facilities with the same owner 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1942863758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 BUNKER HILL RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173096",
            "telephone_number": "202-832-4400",
            "fax_number": "301-752-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 BUNKER HILL RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173096",
            "telephone_number": "202-832-4400",
            "fax_number": "301-752-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL FOR SICK CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HOLSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "202-832-4400"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's National Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The HSC Pediatric Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.