Millennium Health and Rehabilitation Center of Forestville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

16-017 Issued in MD

Legal business name

MILLENNIUM HEALTH AND REHABILITATION CENTER OF FORESTVILLE LLC

Doing business as

Forestville Health and Rehabilitation Center

Practice address

7420 Marlboro Pike
Forestville, MD 20747-4343

Phone

(301) 736-0240

NPI assigned

Jun 3, 2006

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Box

Title

Evp

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other names 1

• Forestville Health and Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1003854662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 MARLBORO PIKE",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474343",
            "telephone_number": "301-736-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HEALTH AND REHABILITATION CENTER OF FORESTVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "16-017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forestville Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rusty Mason Jr., CDL
• Joy Tiffany Mayo, M.S.W., L.I.C.S.W.
• Leanna Beth Mayor
• Medexpress Urgent Care, PC - Maryland (MedExpress Urgent Care - Forestville, Donnell Dr)
• Barbara A Meriedy
• Moore OBGYN LLC
• Javaka K Moore, M.D.
• Dominique Morman, LGSW
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Jayshree Sanjog Nagvekar

• Skilled Nursing Facility in Forestville, MD
• Providers in Forestville, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.