Woodside Center

LBN: 9101 Second Avenue Operations Llc
Woodside Center is an health care organization with primary practice located at 9101 2Nd Ave , Silver Spring MD 20910-2152. 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. 9101 Second Avenue Operations Llc can be contacted via phone (301) 588-5544, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
9101 2Nd Ave Silver Spring MD 20910-2152
Fax: (301) 588-5547
Website:
Authorized official contact:
Name: Berg, Michael T.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 15-006 Maryland

Profile Details

NPI number 1528240090
LBN Legal business name 9101 Second Avenue Operations Llc
DBA Doing business as Woodside 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 1528240090 NPPES
Maryland MEDICAID 413977100

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