Williamsport Nursing Home

LBN: Brooke Grove Foundation, Inc.
Williamsport Nursing Home is an health care organization with primary practice located at 154 N Artizan St , Williamsport MD 21795-1104. 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. Brooke Grove Foundation, Inc. can be contacted via phone (301) 924-2811, or through Spillane, Keith via phone (301) 388-7204.

Contact Information

Primary practice address
154 N Artizan St Williamsport MD 21795-1104
Phone: (301) 924-2811
Fax: (301) 924-1200
Website:
Map and Directions
Authorized official contact:
Name: Spillane, Keith
Phone: (301) 388-7204

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 21-014 Maryland

Profile Details

NPI number 1215141973
LBN Legal business name Brooke Grove Foundation, Inc.
DBA Doing business as Williamsport Nursing Home
Authorized official Spillane, Keith
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Jan 11th, 2024 - about 2 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 1215141973 NPPES
Maryland MEDICAID 21760760000

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