<Unavail>
LBN: Homewood Living Williamsport, Inc.
<Unavail> is an health care organization with primary practice located at 16505 Virginia Ave , Williamsport MD 21795-1321. 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.
Homewood Living Williamsport, Inc. can be contacted via phone (301) 582-1628, or through Mitchell, Rusty L. via phone (301) 582-1628.
Contact Information
Primary practice address
16505 Virginia Ave
Williamsport MD 21795-1321
Phone: (301) 582-1628
Fax: (301) 582-1815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 21008 | Maryland |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1811993116 |
|---|---|
| LBN Legal business name | Homewood Living Williamsport, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Mitchell, Rusty L. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jan 29th, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811993116 | NPPES |
| Maryland | Other | 21D0649913 | CLIA |
| Maryland | MEDICAID | 217447200 | CLIA |
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