WILLIAMSPORT NURSING HOME
NPI 1215141973
Skilled Nursing Facility in Williamsport, MD

Active since May 10, 2007CLIA Certified · 6 labs
154 N ARTIZAN ST, WILLIAMSPORT, MD 21795(301) 924-2811(301) 924-1200 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Williamsport Nursing Home NPPES

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

WILLIAMSPORT NURSING HOME (NPI 1215141973) is a healthcare organization registered as a skilled nursing facility in Williamsport, Maryland and active in the NPI registry since May 2007. The organization holds 6 active CLIA laboratory certificates and lists Keith Spillane, Dir. Of Corp. Finance, as its authorized official.

NPPES Registry Identity

NPI1215141973
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBROOKE GROVE FOUNDATION, INC.
Location Address154 N ARTIZAN STWilliamsport, MD 21795-1104
Mailing Address18100 Slade School RdSandy Spring, MD 20860-1313 · (301) 924-2811 · Fax (301) 924-1200
Fax(301) 924-1200
Organization SubpartNo
Authorized OfficialKeith SpillaneDir. Of Corp. Finance · (301) 388-7204
Enumeration DateMay 10, 2007
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1215141973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MD · 21-014
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.

154 N ARTIZAN ST, Williamsport, MD 21795

Other Names 1

Doing Business AsWilliamsport Nursing Home

Other Identifiers 1

Medicaid21760760000MD

CLIA Laboratory Certificates CMS CLIA 6

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 21D0221002

Williamsport Nursing Hm · Williamsport, MD
Active · expires Aug 31, 2026
CLIA Number21D0221002
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTimothy Berry
Laboratory Phone(301) 223-7971
Laboratory LocationWilliamsport Nursing Hm154 N Artizan St, Williamsport, MD 21795
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2250129

Brooke Grove Foundation, Lnc. D.B.A. Meadows 1637 · Sandy Spring, MD
Active · expires Jan 24, 2028
CLIA Number21D2250129
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Steven P. Simmons
Laboratory Phone(301) 924-9811
Laboratory LocationBrooke Grove Foundation, Lnc. D.B.A. Meadows 16371637 Hickory Knoll Road, Sandy Spring, MD 20860
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2250135

Brooke Grove Foundation, Lnc. D.B.A. Meadows 1639 · Sandy Spring, MD
Active · expires Jan 24, 2028
CLIA Number21D2250135
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Steven P. Simmons
Laboratory Phone(301) 924-9811
Laboratory LocationBrooke Grove Foundation, Lnc. D.B.A. Meadows 16391639 Hickory Knoll Road, Sandy Spring, MD 20860
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2250140

Brooke Grove Foundation. Lnc. D.B.A. Meadows 1635 · Sandy Spring, MD
Active · expires Jan 24, 2028
CLIA Number21D2250140
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Steven P. Simmons
Laboratory Phone(301) 924-9811
Laboratory LocationBrooke Grove Foundation. Lnc. D.B.A. Meadows 16351635 Hickory Knoll Road, Sandy Spring, MD 20860
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2250152

Brooke Grove Foundation, Inc. D.B.A. Meadows 1641 · Sandy Spring, MD
Active · expires Jan 24, 2028
CLIA Number21D2250152
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Steven P. Simmons
Laboratory Phone(301) 924-9811
Laboratory LocationBrooke Grove Foundation, Inc. D.B.A. Meadows 16411641 Hickory Knoll Road, Sandy Spring, MD 20860
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2250162

Brooke Grove Foundation,lnc Dba The Woods 1614 · Sandy Spring, MD
Active · expires Jan 24, 2028
CLIA Number21D2250162
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Steven P. Simmons
Laboratory Phone(301) 924-9811
Laboratory LocationBrooke Grove Foundation,lnc Dba The Woods 16141614 Hickory Knoll Road, Sandy Spring, MD 20860
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795
Physician Assistant
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795
Physical Therapist
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795
Physical Medicine & Rehabilitation (Pain Medicine)
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795
Occupational Therapist
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795
Speech-Language Pathologist
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795
Physical Therapist
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795
Occupational Therapist
154 N ARTIZAN ST
WILLIAMSPORT, MD 21795

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 Brooke Grove Foundation, Inc.'s NPI number?

The NPI number for Brooke Grove Foundation, Inc. is 1215141973. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Williamsport Nursing Home.

Where is Brooke Grove Foundation, Inc. located?

Brooke Grove Foundation, Inc. is located at 154 N Artizan St, Williamsport, MD 21795. The listed phone number is (301) 924-2811.

What is Brooke Grove Foundation, Inc.'s specialty?

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

Does Brooke Grove Foundation, Inc. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Brooke Grove Foundation, Inc. was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.