3330 Wilkens Avenue Operations Llc

LBN: 3330 Wilkens Avenue Operations Llc
3330 Wilkens Avenue Operations Llc is an health care organization with primary practice located at 3330 Wilkens Ave , Baltimore MD 21229-4610. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. 3330 Wilkens Avenue Operations Llc can be contacted via phone (410) 525-1544, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
3330 Wilkens Ave Baltimore MD 21229-4610
Phone: (410) 525-1544
Fax: (410) 646-4779
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 30008 Maryland
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 30008 Maryland

Profile Details

NPI number 1619274545
LBN Legal business name 3330 Wilkens Avenue Operations Llc
DBA Doing business as
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2011
Last updated Mar 7th, 2018 - about 6 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 1619274545 NPPES
Maryland MEDICAID 420461100

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