Glade Valley Center

LBN: 56 West Frederick Street Operations Llc
Glade Valley Center is an health care organization with primary practice located at 56 W Frederick St , Walkersville MD 21793-8254. 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. 56 West Frederick Street Operations Llc can be contacted via phone (301) 898-4300, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
56 W Frederick St Walkersville MD 21793-8254
Phone: (301) 898-4300
Fax:
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 10-015 Maryland

Profile Details

NPI number 1275841322
LBN Legal business name 56 West Frederick Street Operations Llc
DBA Doing business as Glade Valley Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2010
Last updated Jan 8th, 2016 - about 9 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 1275841322 NPPES
Maryland MEDICAID 430910300
Maryland MEDICAID 556219800

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