Oak Manor Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAK MANOR HEALTHCARE CENTER, LLC

Practice address

3415 Greencastle Rd
Burtonsville, MD 20866-1715

Phone

(410) 729-8406

Fax

(410) 987-2430

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Barbara Kitchen

Title

Director of Facility Accounting

Phone

(410) 729-8406

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1023505054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 CLOVERLEAF DR STE 309",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081536",
            "telephone_number": "410-729-8406",
            "fax_number": "410-987-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 GREENCASTLE RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661715",
            "telephone_number": "410-729-8406",
            "fax_number": "410-987-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK MANOR HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF FACILITY ACCOUNTING",
        "authorized_official_telephone_number": "410-729-8406"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Burtonsville, MD
• Providers in Burtonsville, 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 Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.