Spa Creek Center

LBN: 35 Milkshake Lane Operations Llc
Spa Creek Center is an health care organization with primary practice located at 35 Milkshake Ln , Annapolis MD 21403-1507. 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. 35 Milkshake Lane Operations Llc can be contacted via phone (410) 269-5100, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
35 Milkshake Ln Annapolis MD 21403-1507
Phone: (410) 269-5100
Fax: (410) 269-5453
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 02-026 Maryland

Profile Details

NPI number 1083896559
LBN Legal business name 35 Milkshake Lane Operations Llc
DBA Doing business as Spa Creek Center
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 1083896559 NPPES
Maryland MEDICAID 413973900

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