NPIMap

Organization Active NPI

Mid Atlantic Long Term Care

  • Skilled Nursing Facility
  • Towson, MD
National Provider Identifier
1154337038
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MID ATLANTIC LONG TERM CARE
Practice address
1220A E Joppa Rd
Ste 230
Towson, MD 21286-5812
Phone
(410) 828-6093
Fax
(443) 279-0825
NPI assigned
Jul 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Howard Friner
Title
Coo
Phone
(410) 828-6093

Specialties & licenses 1

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

Addresses

Primary practice location

1220A E Joppa Rd
Ste 230
Towson, MD 21286-5812

Mailing address

1220A E Joppa Rd
Ste 230
Towson, MD 21286-5812
Phone (410) 828-6093

Other identifiers 2

IdentifierTypeStateIssuer
DE4514OtherTNMEDICARE RAILROAD
3728505MedicaidTN

National Provider Directory

National Provider Directory

Locations

1220A E Joppa Rd
Ste 230
Towson, MD 21286
Phone (410) 828-6093

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154337038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220A E JOPPA RD",
            "address_2": "STE 230",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865812",
            "telephone_number": "410-828-6093",
            "fax_number": "443-279-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220A E JOPPA RD",
            "address_2": "STE 230",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865812",
            "telephone_number": "410-828-6093",
            "fax_number": "443-279-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRINER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-828-6093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE4514",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728505",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.