Shady Grove Nursing And Rebah Center
LBN: Shady Grove Adventist Nursing & Rehabilitation Center Inc
Shady Grove Nursing And Rebah Center is an health care organization with primary practice located at 9701 Medical Center Dr , Rockville MD 20850-3326. 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.
Shady Grove Adventist Nursing & Rehabilitation Center Inc can be contacted via phone (301) 315-1900, or through Marizan, Richard A via phone (301) 315-3272.
Contact Information
Primary practice address
9701 Medical Center Dr
Rockville MD 20850-3326
Phone: (301) 315-1900
Fax: (301) 315-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | Maryland |
Profile Details
| NPI number | 1043217219 |
|---|---|
| LBN Legal business name | Shady Grove Adventist Nursing & Rehabilitation Center Inc |
| DBA Doing business as | Shady Grove Nursing And Rebah Center |
| Authorized official | Marizan, Richard A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2005 |
| Last updated | Jan 26th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043217219 | NPPES |
| Maryland | MEDICAID | 158057400 | |
| Maryland | MEDICAID | 403480500 |
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