NPIMap

Organization Active NPI

Diakon Lutheran Senior Living - Maryland LLC

Doing business as The Village at Robinwood

  • Assisted Living Facility
  • Hagerstown, MD
National Provider Identifier
1023075389
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
21AL020 Issued in MD
Legal business name
DIAKON LUTHERAN SENIOR LIVING - MARYLAND LLC
Doing business as
The Village at Robinwood
Practice address
19800 Tranquility Cir
Hagerstown, MD 21742-4042
Phone
(240) 420-4100
NPI assigned
Apr 28, 2006
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Jarrod Leo
Title
Senior VP, Financial Planning & Ope
Phone
(717) 795-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 21AL020 MD Primary

Addresses

Primary practice location

19800 Tranquility Cir
Hagerstown, MD 21742-4042

Mailing address

1022 North Union Street
Middletown, PA 17057-2158
Phone (717) 795-0386

Other names 1

  • The Village at Robinwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creekside Center for Rehabilitation and2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1023075389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 NORTH UNION STREET",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572158",
            "telephone_number": "717-795-0386",
            "fax_number": "717-795-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 TRANQUILITY CIR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424042",
            "telephone_number": "240-420-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKON LUTHERAN SENIOR LIVING - MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "LEO",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "SENIOR VP, FINANCIAL PLANNING & OPE",
        "authorized_official_telephone_number": "717-795-0309"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "21AL020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village at Robinwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.