Severna Park Center
LBN: 24 Truckhouse Road Operations Llc
Severna Park Center is an health care organization with primary practice located at 310 Genesis Way , Severna Park MD 21146-1762. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
24 Truckhouse Road Operations Llc can be contacted via phone (410) 544-4220, or through Berg, Michael T. via phone (505) 468-4752.
Contact Information
Primary practice address
310 Genesis Way
Severna Park MD 21146-1762
Phone: (410) 544-4220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 02019 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 02019 | Maryland |
Profile Details
| NPI number | 1174977540 |
|---|---|
| LBN Legal business name | 24 Truckhouse Road Operations Llc |
| DBA Doing business as | Severna Park Center |
| Authorized official | Berg, Michael T. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2016 |
| Last updated | Sep 7th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174977540 | NPPES |
| Maryland | MEDICAID | 445120100 |
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