Shady Grove Snf LLC
NPI 1366931206 · Skilled Nursing Facility · Rockville, MD
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Grove Snf LLC is a Skilled Nursing Facility organization in Rockville, MD (NPI 1366931206).
Provider details
- NPI number
- 1366931206
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Israel Birnbaum, Authorized Official(732) 905-6440
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2018-05-07
Frequently asked questions
- What is Shady Grove Snf LLC's NPI number?
- Shady Grove Snf LLC's National Provider Identifier (NPI) is 1366931206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Snf LLC?
- Shady Grove Snf LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Shady Grove Snf LLC located?
- Shady Grove Snf LLC's practice location on file with NPPES is 9701 Medical Center Dr, Rockville, MD 20850-3326.
- What is Shady Grove Snf LLC's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Snf LLC is (301) 315-1901.
- Does Shady Grove Snf LLC accept Medicare?
- Shady Grove Snf LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shady Grove Snf LLC?
- The authorized official listed on Shady Grove Snf LLC's NPPES record is Israel Birnbaum, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Snf LLC's NPI active?
- Yes — Shady Grove Snf LLC's NPI (1366931206) is active in the NPPES registry as of the last update on 2018-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.