Long View Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

06-006 Issued in MD

Legal business name

LONG VIEW NURSING HOME, INC.

Practice address

3332 Main St
Pob 390
Manchester, MD 21102-0390

Phone

(410) 239-7139

Fax

(410) 239-6460

NPI assigned

Jul 5, 2005

Last updated

Nov 14, 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

Sandra L Martin

Title

President Owner

Phone

(410) 239-7139

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1114924115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 MAIN ST",
            "address_2": "POB 390",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211020390",
            "telephone_number": "410-239-7139",
            "fax_number": "410-239-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 MAIN ST",
            "address_2": "POB 390",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211020390",
            "telephone_number": "410-239-7139",
            "fax_number": "410-239-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG VIEW NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "410-239-7139"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "06-006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "59016801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindred Treatment Center
• Kindred Treatment Center
• Allison Knipe
• Laura C Lillicotch, LCPC
• Long View Healthcare Center, LLC
• Manchester Drugs Inc (Carroll Drugs of Manchester)
• Manchester Family Medicine, LLC
• Manchester Fire Engine & Hook & Ladder Co No 1
• Manchester Medical Group, LLC
• Manchester Pharmacy Inc

• Skilled Nursing Facility in Manchester, MD
• Providers in Manchester, 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 Nov 14, 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.