Organization Active NPI

Villa Rosa Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Mitchellville, MD
National Provider Identifier
1245286368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
16020 Issued in MD
Legal business name
VILLA ROSA NURSING HOME
Practice address
3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone
(301) 459-4700
Fax
(301) 429-0646
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Neva Babcock, RN
Title
Administrator
Phone
(301) 459-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 16020 MD Primary

Addresses

Primary practice location

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018

Mailing address

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone (301) 459-4700

Other names 1

  • Villa Rosa Nursing Home Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245286368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "301-459-4700",
            "fax_number": "301-429-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "301-459-4700",
            "fax_number": "301-429-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ROSA NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "NEVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-459-4700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "16020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Rosa Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mitchellville, MD

Sources for this page

  • 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.