HCR Manorcare Towson

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03-022 Issued in MD

Legal business name

HCR MANORCARE TOWSON

Practice address

509 E Joppa Rd
Towson, MD 21286-5404

Phone

(410) 828-9494

Fax

(410) 828-9180

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dean A Smith

Title

Nursing Home Administrator

Phone

(410) 828-9494

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164574604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865404",
            "telephone_number": "410-828-9494",
            "fax_number": "410-828-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865404",
            "telephone_number": "410-828-9494",
            "fax_number": "410-828-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCR MANORCARE TOWSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "410-828-9494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03-022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE PROV#",
            "identifier": "216648",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FEDERAL PROVIDER #",
            "identifier": "PW4",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN PROVIDER",
            "identifier": "C 215054",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.