NPIMap

Organization Active NPI

Charlestown Community, Inc.

Doing business as Charlestown Home Health Agency

  • Home Health Agency
  • Catonsville, MD
National Provider Identifier
1992704068
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH7137 Issued in MD
Legal business name
CHARLESTOWN COMMUNITY, INC.
Doing business as
Charlestown Home Health Agency
Practice address
719 Maiden Choice LN
Attn: Home Health Administrator
Catonsville, MD 21228-6138
Phone
(410) 247-3400
Fax
(410) 204-7237
NPI assigned
Jul 20, 2005
Last updated
Jan 16, 2015By the provider in NPPES
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
Home Health Agency 251E00000X HH7137 MD Primary

Addresses

Primary practice location

719 Maiden Choice LN
Attn: Home Health Administrator
Catonsville, MD 21228-6138

Mailing address

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

Other names 1

  • Charlestown Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040106000448 MD Part A Provider - Home Health Agency 6901705201 Practice locations: Catonsville, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992704068. Details of each certification follow.

Home health agency certification: CCN 217137

Legal name
CHARLESTOWN COMMUNITY, INC
Doing business as
CHARLESTOWN HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 19, 1995
Last certification
Jan 15, 2021
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Oct 22, 1982 in MD
Enrollment address
719 Maiden Choice LN
Attn Home Health Administrator
Catonsville, MD 21228-6138

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: Home health agency

Medicare Care Compare
Listed as
Charlestown Home Health AgencyCCN 217137 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 19, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Ownership & related parties

All disclosed owners & managing parties 21

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
W-2 Managing EmployeeExecutive Asst May 14, 2015
David a Schneyer Individual Contracted Managing EmployeeFinance Director Feb 12, 2025
Corporate OfficerTreasurer Feb 12, 2025
Robin F Moore Individual Corporate OfficerAssistant Vice President Dec 11, 2015
W-2 Managing EmployeeGeneral Manager III Dec 11, 2015
Alison Brown Individual Corporate DirectorBoard Member May 15, 2024
Charles Gamble Individual Corporate DirectorBoard Member Oct 19, 1995
Richard M Barnes Individual Corporate DirectorBoard Member Nov 6, 2008
Stephen Schimpff Individual Corporate OfficerBoard Member Feb 8, 2023
Patricia M Kasuda Individual Corporate DirectorBoard Member Jan 1, 2021
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 Contracted Managing EmployeeExecutive Director Jan 20, 2023
Corporate OfficerSecretary Jan 20, 2023
Christopher M McNally Individual Corporate DirectorBoard Member Mar 1, 2021
Erickson Senior Living LLC Organization, Catonsville, MD LLC Operational/Managerial Control Nov 23, 2020 100%
Christian Sweetser Individual Contracted Managing EmployeeCfo Mar 1, 2022
Linda Woolf Individual Corporate DirectorBoard Member May 15, 2024
Gabriel L Weisz Individual Corporate DirectorBoard Member Feb 12, 2025
Doug R Brown Individual Corporate OfficerAssistant Vice President May 7, 2025
W-2 Managing EmployeeStaff Development Manager May 7, 2025
Paul F Edelman Individual Corporate OfficerAssistant Vice President Apr 7, 2022
W-2 Managing EmployeeAsst Director of Dining Services Apr 7, 2022
Mitchell G Lomax Individual Corporate DirectorBoard Member Feb 1, 2023
Heidi Abdelhady Individual Corporate DirectorBoard Member Oct 27, 2021
Joanne E Pollak Individual Corporate DirectorBoard Member Oct 19, 1995

Owners & managing parties with NPI records 1

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

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": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1992704068",
    "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": "719 MAIDEN CHOICE LN",
            "address_2": "ATTN: HOME HEALTH ADMINISTRATOR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286138",
            "telephone_number": "410-247-3400",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTOWN COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "HH7137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlestown Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.