Organization Active NPI

Springbrook Adventist Nursing and Rehabilitation Center Inc

  • Skilled Nursing Facility
  • Silver Spring, MD
National Provider Identifier
1144227315
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRINGBROOK ADVENTIST NURSING AND REHABILITATION CENTER INC
Practice address
12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Phone
(301) 622-4600
NPI assigned
Jul 4, 2005
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Mr. Richard Aiton Marizan
Title
Director, Central Business Office
Phone
(301) 315-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MD Primary

Addresses

Primary practice location

12325 New Hampshire Ave
Silver Spring, MD 20904-2957

Mailing address

12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Phone (301) 622-4600

Other identifiers 1

IdentifierTypeStateIssuer
150607200MedicaidMD

Other names 1

  • SPRINGBROOK NURSING AND REHAB CENTER Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1144227315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042957",
            "telephone_number": "301-622-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042957",
            "telephone_number": "301-622-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBROOK ADVENTIST NURSING AND REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "MARIZAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "AITON",
        "authorized_official_title_or_position": "DIRECTOR, CENTRAL BUSINESS OFFICE",
        "authorized_official_telephone_number": "301-315-3272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150607200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGBROOK NURSING AND REHAB CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.