CARROLL PARK HEALTHCARE
NPI 1013615681
Skilled Nursing Facility in Baltimore, MD

Active since February 22, 2023CLIA 21D1040901 · Waiver
1/5
Overall Rating
3330 WILKENS AVE, BALTIMORE, MD 21229(410) 525-1544 Get Directions Write a Review

NPPES record last updated: September 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2023, Sep 2, 2023, Aug 16, 2023 and 1 more (4 updates tracked since 2023).

About Carroll Park Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARROLL PARK HEALTHCARE (NPI 1013615681) is a healthcare organization registered as a skilled nursing facility in Baltimore, Maryland and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Jack Paneth, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013615681
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGWYNNFALLS MD OPCO
Location Address3330 WILKENS AVEBaltimore, MD 21229-4610
Mailing Address3330 Wilkens AveBaltimore, MD 21229-4610 · (410) 655-7373
Organization SubpartNo
Authorized OfficialJack PanethAuthorized Official · (410) 525-1544
Enumeration DateFebruary 22, 2023
Last NPPES UpdateSeptember 10, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2023
NPI 1013615681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3330 WILKENS AVE, Baltimore, MD 21229

Other Names 1

Doing Business AsCarroll Park Healthcare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1040901

Carroll Park Healthcare · Baltimore, MD
Active · expires Jan 6, 2028
CLIA Number21D1040901
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorNarender Bharaj
Laboratory Phone(410) 525-1544
Laboratory LocationCarroll Park Healthcare3330 Wilkens Avenue, Baltimore, MD 21229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Carroll Park Healthcare (CMS certification number 215085), from CMS Care Compare.

Carroll Park Healthcare

Nursing home · Baltimore, MD
1/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number215085
Certified Beds140 beds84 residents per day on average
Medicare & Medicaid Participant SinceMay 11, 1972
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
690.5
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.16 · LPN 1.12 · RN 0.7
3.98 hrs per resident per day
Weekend Nurse Staffing
3.51 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
69.3%
Registered Nurse Turnover
93.1%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
6
Substantiated Complaints
10
Fines
2 totaling $297,080.28
Medicare Payment Denials
1
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
3330 WILKENS AVE
BALTIMORE, MD 21229
Nurse Practitioner (Family)
3330 WILKENS AVE
BALTIMORE, MD 21229
Speech-Language Pathologist
3330 WILKENS AVE
BALTIMORE, MD 21229
Speech-Language Pathologist
3330 WILKENS AVE
BALTIMORE, MD 21229
Optometrist
3330 WILKENS AVE
BALTIMORE, MD 21229
Nurse Practitioner (Psychiatric/Mental Health)
3330 WILKENS AVE
BALTIMORE, MD 21229
Nurse Practitioner (Adult Health)
3330 WILKENS AVE
BALTIMORE, MD 21229
Skilled Nursing Facility
3330 WILKENS AVE
BALTIMORE, MD 21229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwynnfalls MD Opco's NPI number?

The NPI number for Gwynnfalls MD Opco is 1013615681. It was assigned to this organization in the NPPES registry on February 22, 2023. The provider is doing business as Carroll Park Healthcare.

Where is Gwynnfalls MD Opco located?

Gwynnfalls MD Opco is located at 3330 Wilkens Ave, Baltimore, MD 21229. The listed phone number is (410) 525-1544.

What is Gwynnfalls MD Opco's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Gwynnfalls MD Opco hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1040901) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Gwynnfalls MD Opco a Medicare-certified nursing home?

Yes. Carroll Park Healthcare is a Medicare-certified nursing home with 140 certified beds.

What quality rating does Gwynnfalls MD Opco have?

CMS rates Carroll Park Healthcare 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Gwynnfalls MD Opco was last updated on September 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.