700 Toll House Avenue Operations Llc

LBN: 700 Toll House Avenue Operations Llc
700 Toll House Avenue Operations Llc is an health care organization with primary practice located at 347 Ballenger Center Dr , Frederick MD 21703-7095. The organization recently has 4 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, 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. 700 Toll House Avenue Operations Llc can be contacted via phone (301) 663-5181, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
347 Ballenger Center Dr Frederick MD 21703-7095
Phone: (301) 663-5181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10002 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 10002 Maryland
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10002 Maryland
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10002 Maryland

Profile Details

NPI number 1861846248
LBN Legal business name 700 Toll House Avenue Operations Llc
DBA Doing business as
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2016
Last updated Mar 8th, 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 1861846248 NPPES
Maryland MEDICAID 332009000

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