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 only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as 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: (410) 544-4288
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 02-019 Maryland

Profile Details

NPI number 1710169289
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 Nov 27th, 2007
Last updated Jan 8th, 2016 - about 8 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 1710169289 NPPES
Maryland MEDICAID 413972100

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