Active NPI
Stoddard Baptist Home
- Skilled Nursing Facility
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- HFD02-0019
- Legal business name
- STODDARD BAPTIST HOME
- Practice address
- 1818 Newton St NW
Washington, DC 20010-1017 - Phone
- (202) 328-7400
- Fax
- (202) 328-0421
- NPI assigned
- Jan 3, 2007
- 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
- Mrs. Ma,Remedios Jose-Johnson, RN, LNHA
- Title
- Administrator
- Phone
- (202) 328-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | HFD02-0019 | DC | Primary |
Addresses
Primary practice location
1818 Newton St NW
Washington, DC 20010-1017
Mailing address
1818 Newton St NW
Washington, DC 20010-1017
Phone (202) 328-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029880400 | Medicaid | DC |
Other names 1
- Stoddard Baptist Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120424000156 | DC | Part A Provider - Skilled Nursing Facility | 1254593064 | Practice locations: Washington, DC |
Skilled nursing facility certification: CCN 095020
- Legal name
- STODDARD BAPTIST HOME
- Doing business as
- STODDARD BAPTIST NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 5, 1986
- Last certification
- Mar 20, 2024
- Beds
- 164
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1902 in DC
- Enrollment address
- 1818 Newton Street NW
Washington, DC 20010-1017 - Nursing home name
- STODDARD BAPTIST NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Stoddard Baptist Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 5, 1986
- Medicare certification status
- Active
- Certified beds
- 164
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary Savoy | Adp of the SNF | Sep 25, 2023 | |
| Steve Nash | 5% Or Greater Direct Ownership Interest | Mar 1, 2008 | |
| Adp of the SNF | Mar 1, 2008 | ||
| Lester M Miles | Operational/Managerial Control | Jan 1, 2009 | |
| Adp of the SNF | Jan 1, 2009 | ||
| Mahesh Tyagi | Corporate Officer | Aug 2, 2000 | |
| Corporate Director | Aug 2, 2000 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Medical Oncology Physician
- Washington, DC
- NPI 1467463992
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Oncology Physician
- Washington, DC
- NPI 1467463992
-
- Gastroenterology Physician
- Greenbelt, MD
- NPI 1043380140
-
- Adult Medicine Physician
- Greenbelt, MD
- NPI 1356562839
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": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334534400000",
"number": "1962559104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 NEWTON ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200101017",
"telephone_number": "202-328-7400",
"fax_number": "202-328-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 NEWTON ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200101017",
"telephone_number": "202-328-7400",
"fax_number": "202-328-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STODDARD BAPTIST HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2012-04-16",
"status": "A",
"authorized_official_last_name": "JOSE-JOHNSON",
"authorized_official_first_name": "MA,REMEDIOS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "202-328-7400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "DC",
"license": "HFD02-0019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029880400",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stoddard Baptist Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.