Crofton Convalescent Center, Inc.

LBN: Crofton Convalescent Center, Inc.
Crofton Convalescent Center, Inc. is an health care organization with primary practice located at 2131 Davidsonville Rd , Crofton MD 21114-1632. 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. Crofton Convalescent Center, Inc. can be contacted via phone (410) 721-1000, or through Gordon, Philip J via phone (410) 721-1000.

Contact Information

Primary practice address
2131 Davidsonville Rd Crofton MD 21114-1632
Phone: (410) 721-1000
Fax: (410) 721-2749
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Philip J
Phone: (410) 721-1000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 02-011 Maryland

Profile Details

NPI number 1093782468
LBN Legal business name Crofton Convalescent Center, Inc.
DBA Doing business as
Authorized official Gordon, Philip J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Aug 14th, 2012 - about 14 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 1093782468 NPPES
Maryland MEDICAID 021797200

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