Ruxton Health Care IV, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-003 Issued in MD

Legal business name

RUXTON HEALTH CARE IV, LLC

Practice address

420 Colonial Dr
Denton, MD 21629-3055

Phone

(410) 479-4400

Fax

(410) 479-2338

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eamonn Dennis Reilly

Title

Ceo

Phone

(410) 715-8900

Specialties & licenses 1

Addresses

Other names 1

• Ruxton Health of Denton Doing business as

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174547582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COLONIAL DR",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293055",
            "telephone_number": "410-479-4400",
            "fax_number": "410-479-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COLONIAL DR",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293055",
            "telephone_number": "410-479-4400",
            "fax_number": "410-479-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUXTON HEALTH CARE IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "EAMONN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-715-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "05-003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruxton Health of Denton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann Reihl, OTR
• Renee Lynn Reisinger, MS CRNP
• Jessica Jane Richmond Mullaney, SLP
• Oluwaseun Oluwadamilola Ross, NP
• Holly Ruskauff, SLPA
• Phyllis Saathoff, LCSW C
• Fouad Saad El-Din Haky Salama, DDS
• Hatem Salim, DDS
• Medha Satyarengga, M.D.
• Hannah Saulsbury, RDH

• Skilled Nursing Facility in Denton, MD
• Providers in Denton, 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 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.