Collingswood Nursing Facilities Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLLINGSWOOD NURSING FACILITIES INC

Doing business as

Collingswood Nursing & Rehabilitation Center

Practice address

299 Hurley Ave
Rockville, MD 20850-3118

Phone

(301) 762-8900

Fax

(301) 762-8020

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Leah T Whetzel

Title

Administrator

Phone

(301) 762-8900

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Collingswood Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1215930003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HURLEY AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503118",
            "telephone_number": "301-762-8900",
            "fax_number": "301-762-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HURLEY AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503118",
            "telephone_number": "301-762-8900",
            "fax_number": "301-762-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINGSWOOD NURSING FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "WHETZEL",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-762-8900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS MARYLAND",
            "identifier": "02FVCO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNCA",
            "identifier": "RE6",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "7100090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155327500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collingswood Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collingswood Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward John Coll, M.D.
• Anahi Collado, PH.D.
• Imani Colley
• Saniya Collier
• Carlos Collin, MD
• Collingswood Operator LLC
• Collingswood Operator LLC
• Akilah Collins
• Bria Rose Collins, AU.D
• Brittany Collins

• Skilled Nursing Facility in Rockville, MD
• Providers in Rockville, 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 Sep 11, 2018; 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.