Fahrney-Keedy Memorial Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

21-006 Issued in MD

Legal business name

FAHRNEY-KEEDY MEMORIAL HOME, INC

Doing business as

Fahrney-Keedy

Practice address

8507 Mapleville Rd
Boonsboro, MD 21713-1818

Phone

(301) 733-6284

Fax

(301) 733-3805

NPI assigned

Jun 30, 2005

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen P Coetzee

Title

President/Ceo

Phone

(301) 671-5017

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fahrney-Keedy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1982601308. Details of each certification follow.

• CCN 215337 Skilled nursing facility · Active · Details
• CCN 216712 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Skilled nursing facility certification: CCN 215337

Legal name

FAHRNEY-KEEDY MEMORIAL HOME, INC

Doing business as

FAHRNEY-KEEDY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 2001

Last certification

Feb 3, 2025

Beds

106

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 22, 1905 in MD

Enrollment address

8507 Mapleville Rd
Boonsboro, MD 21713-1818

Nursing home name

FAHRNEY-KEEDY MEMORIAL HOME

Outpatient physical therapy / speech pathology certification: CCN 216712

Legal name

FAHRNEY-KEEDY MEMORIAL HOME

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Sep 27, 2019

Last certification

Apr 3, 2025

Ownership / control type

Proprietary

Facility address

8507 Mapleville Road
Boonsboro, MD 21713

Other NPIs with the same Medicare PAC ID 1

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

• Fahrney-Keedy Memorial Home, Inc

  dba Coffman Nursing Home by Fahrney-Keedy

  • Skilled Nursing Facility
  • Hagerstown, MD
  • NPI 1639186695

  8123292430

  Same PAC ID

Listed as

Fahrney-Keedy Memorial HomeCCN 215337 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 1, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10691.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Fahrney-Keedy Memorial Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Fahrney-Keedy Memorial Home, Inc

  dba Coffman Nursing Home by Fahrney-Keedy

  • Skilled Nursing Facility
  • Hagerstown, MD
  • NPI 1639186695
  NPD tax ID
• Fahrney-Keedy Memorial Home, Inc.

  dba Jone L. Bowman Adult Medical Day Center at Fahmey-Keedy

  • Adult Day Care Clinic/Center
  • Boonsboro, MD
  • NPI 1083241210
  NPD tax ID

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 2

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

• Fahrney-Keedy Memorial Home, Inc

  dba Coffman Nursing Home by Fahrney-Keedy

  • Skilled Nursing Facility
  • Hagerstown, MD
  • NPI 1639186695

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership
• Muhammad K Waseem, MD

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1184665143

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fahrney-Keedy Memorial Home, Inc

  dba Coffman Nursing Home by Fahrney-Keedy

  • Skilled Nursing Facility
  • Hagerstown, MD
  • NPI 1639186695

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership

Facilities with the same owner 1

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

• Fahrney-Keedy Memorial Home, Inc

  dba Coffman Nursing Home by Fahrney-Keedy

  • Skilled Nursing Facility
  • Hagerstown, MD
  • NPI 1639186695

  Fahrney-Keedy Memorial Home, Inc

  CMS ownership

Practitioners 2

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.

• Farid Murshed, MD

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1366483323
  NPD (past)
• Muhammad K Waseem, MD

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1184665143
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Farid Murshed, MD

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1366483323

  Nursing home

  Care Compare affiliation
• Muhammad K Waseem, MD

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1184665143

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1982601308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131818",
            "telephone_number": "301-671-5013",
            "fax_number": "301-733-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131818",
            "telephone_number": "301-733-6284",
            "fax_number": "301-733-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHRNEY-KEEDY MEMORIAL HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "COETZEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-671-5017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "21-006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217287900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fahrney-Keedy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylie R Dennis
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• Chrystal Marie Dewolf, LCPC
• Dialog Healthcare LLC
• Maria Teresa Elizalde, CRNP
• Fahrney-Keedy Memorial Home, Inc. (Jone L. Bowman Adult Medical Day Center at Fahmey-Keedy)
• Keith Fanjoy, LCSW-C
• Shannon Marie Fender
• Kenneth Anson Film, DDS
• Michael Fitzgerald

• Skilled Nursing Facility in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.

Verify at the official NPI Registry.