<Unavail>

LBN: 1801 Wentworth Road Operations Llc
<Unavail> is an health care organization with primary practice located at 1801 Wentworth Rd , Baltimore MD 21234-6128. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 1801 Wentworth Road Operations Llc can be contacted via phone (410) 661-5717, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
1801 Wentworth Rd Baltimore MD 21234-6128
Phone: (410) 661-5717
Fax: (410) 668-4328
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 03-027 Maryland

Profile Details

NPI number 1467634931
LBN Legal business name 1801 Wentworth Road Operations Llc
DBA Doing business as <Unavail>
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Jan 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467634931 NPPES
Maryland MEDICAID 413971200

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