Waldorf Center

LBN: 4140 Old Washington Highway Operations Llc
Waldorf Center is an health care organization with primary practice located at 4140 Old Washington Rd , Waldorf MD 20602-3221. 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. 4140 Old Washington Highway Operations Llc can be contacted via phone (301) 645-2813, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
4140 Old Washington Rd Waldorf MD 20602-3221
Phone: (301) 645-2813
Fax: (301) 645-9317
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 08-006 Maryland

Profile Details

NPI number 1861673428
LBN Legal business name 4140 Old Washington Highway Operations Llc
DBA Doing business as Waldorf Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2007
Last updated Jun 3rd, 2021 - about 5 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 1861673428 NPPES
Maryland MEDICAID 413976300

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