NPIMap

Organization Active NPI

Granite MD Opco

Doing business as Patapsco Healthcare

  • Skilled Nursing Facility
  • Randallstown, MD
National Provider Identifier
1952009516
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GRANITE MD OPCO
Doing business as
Patapsco Healthcare
Practice address
9109 Liberty Rd
Randallstown, MD 21133-3521
Phone
(410) 655-7373
NPI assigned
Feb 22, 2023
Last updated
Sep 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Authorized official

Name
Jack Paneth
Title
Authorized Official
Phone
(410) 655-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

9109 Liberty Rd
Randallstown, MD 21133-3521

Mailing address

9109 Liberty Rd
Randallstown, MD 21133-3521
Phone (410) 655-7373

Other names 1

  • Patapsco Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231229001448 MD Part A Provider - Skilled Nursing Facility 7911357165 Practice locations: Randallstown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952009516. Details of each certification follow.

Skilled nursing facility certification: CCN 215084

Legal name
GRANITE MD OPCO
Doing business as
PATAPSCO HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 24, 1972
Last certification
Sep 30, 2024
Beds
172
Ownership / control type
Corporation
Multi-facility organization
Engage
Most recent change of ownership
Aug 1, 2023
Organization structure
LLCProprietary
Enrollment address
9109 Liberty Rd
Randallstown, MD 21133-3521
Nursing home name
PATAPSCO HEALTHCARE
Affiliated entity
ENGAGE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Patapsco HealthcareCCN 215084 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 24, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
172128.9 residents per day on average
Chain
Engage Healthcare5 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $17,114

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Granite MD Holdco LLC Organization, Randallstown, MD Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Aug 1, 2023 100%
Jake Lighten Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 50%
Operational/Managerial Control Aug 1, 2023
Jack Paneth Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 50%
Reid J Scholar Individual W-2 Managing Employee Aug 1, 2023

Practitioners & affiliated clinicians

Practitioners 7

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 2

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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694304000000",
    "number": "1952009516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333521",
            "telephone_number": "410-655-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333521",
            "telephone_number": "410-655-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE MD OPCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "PANETH",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "410-655-7373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patapsco Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patapsco Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.