Patapsco Valley Center

LBN: 9109 Liberty Road Operations Llc
Patapsco Valley Center is an health care organization with primary practice located at 9109 Liberty Rd , Randallstown MD 21133-3521. 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. 9109 Liberty Road Operations Llc can be contacted via phone (410) 655-7373, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
9109 Liberty Rd Randallstown MD 21133-3521
Phone: (410) 655-7373
Fax: (410) 655-0579
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 03031 Maryland

Profile Details

NPI number 1215234182
LBN Legal business name 9109 Liberty Road Operations Llc
DBA Doing business as Patapsco Valley Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2011
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 1215234182 NPPES
Maryland MEDICAID 420460300

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