Ravenwood Lutheran Village Outpatient Therapy

LBN: Diakon Lutheran Senior Living-Maryland Ravenwood Campus
Ravenwood Lutheran Village Outpatient Therapy is an health care organization with primary practice located at 19800 Tranquility Cir , Hagerstown MD 21742-4042. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Diakon Lutheran Senior Living-Maryland Ravenwood Campus can be contacted via phone (301) 790-1000, or through Sowers, Scott via phone (717) 795-0377.

Contact Information

Primary practice address
19800 Tranquility Cir Hagerstown MD 21742-4042
Phone: (301) 790-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sowers, Scott
Phone: (717) 795-0377

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 21-010 Maryland

Profile Details

NPI number 1831348309
LBN Legal business name Diakon Lutheran Senior Living-Maryland Ravenwood Campus
DBA Doing business as Ravenwood Lutheran Village Outpatient Therapy
Authorized official Sowers, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2008
Last updated Jan 17th, 2012 - about 12 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 1831348309 NPPES
Maryland MEDICAID 217547900

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