NPIMap

Organization Active NPI

Courtland Gardens Nursing and Rehabilitation Center, Inc.

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1225008873
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
03055 Issued in MD
Legal business name
COURTLAND GARDENS NURSING AND REHABILITATION CENTER, INC.
Practice address
7920 Scotts Level Rd
Baltimore, MD 21208-2629
Phone
(410) 521-3600
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Mr. Cleveland Smith
Title
Assit Director Patient Accounts
Phone
(410) 601-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 03055 MD Primary

Addresses

Primary practice location

7920 Scotts Level Rd
Baltimore, MD 21208-2629

Mailing address

7920 Scotts Level Rd
Baltimore, MD 21208-2629
Phone (410) 601-2935

Other identifiers 3

IdentifierTypeStateIssuer
02VJOtherMDMD BLUE CROSS PROVIDER
032677100MedicaidMD
HW7OtherMDFEDERAL BLUE CROSS PROVID

Other names 1

  • Jewish Convalescent and Nursing Home Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Courtland LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7920 Scotts Level Rd
Pikesville, MD 21208
Phone (410) 521-3600

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1225008873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 SCOTTS LEVEL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212082629",
            "telephone_number": "410-601-2935",
            "fax_number": "410-601-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 SCOTTS LEVEL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212082629",
            "telephone_number": "410-521-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTLAND GARDENS NURSING AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_title_or_position": "ASSIT DIRECTOR PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "410-601-2935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE CROSS PROVIDER",
            "identifier": "02VJ",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032677100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS PROVID",
            "identifier": "HW7",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Convalescent and Nursing Home Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.