La Plata Center

LBN: 1 Magnolia Drive Operations Llc
La Plata Center is an health care organization with primary practice located at 1 Magnolia Dr , La Plata MD 20646-9357. 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. 1 Magnolia Drive Operations Llc can be contacted via phone (301) 934-4001, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
1 Magnolia Dr La Plata MD 20646-9357
Fax: (301) 934-6373
Website:
Authorized official contact:
Name: Berg, Michael T.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 08-005 Maryland

Profile Details

NPI number 1033391503
LBN Legal business name 1 Magnolia Drive Operations Llc
DBA Doing business as La Plata Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Aug 14th, 2020 - about 4 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 1033391503 NPPES
Maryland MEDICAID 413990900

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