The Villa

LBN: Joint Retirement Convent Inc
The Villa is an health care organization with primary practice located at 6806 Bellona Avenue , Baltimore MD 21212-1299. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Joint Retirement Convent Inc can be contacted via phone (410) 377-2450, or through Zaicko, Carol A via phone (410) 377-2450.

Contact Information

Primary practice address
6806 Bellona Avenue Baltimore MD 21212-1299
Phone: (410) 377-2450
Fax: (410) 377-2501
Website:
Map and Directions
Authorized official contact:
Name: Zaicko, Carol A
Phone: (410) 377-2450

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 03-070 Maryland

Profile Details

NPI number 1528045986
LBN Legal business name Joint Retirement Convent Inc
DBA Doing business as The Villa
Authorized official Zaicko, Carol A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 11th, 2010 - about 16 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 1528045986 NPPES
Maryland MEDICAID 510090900
Maryland MEDICAID 981503100

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