Organization Active NPI

Birch Manor Healthcare Center, LLC

  • Skilled Nursing Facility
  • Sykesville, MD
National Provider Identifier
1245736008
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BIRCH MANOR HEALTHCARE CENTER, LLC
Practice address
7309 2ND Ave
Sykesville, MD 21784-7531
Phone
(844) 334-3818
Fax
(410) 987-2430
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Robert G Owens
Title
Ceo
Phone
(410) 729-8406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7309 2ND Ave
Sykesville, MD 21784-7531

Mailing address

8227 Cloverleaf Dr Ste 309
Millersville, MD 21108-1536
Phone (410) 729-8406

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2005788Birch Manor Healthcare Center LLC7309 Second Ave, Sykesville, MD 21784Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory

Locations

8227 Cloverleaf Dr
Ste 309
Millersville, MD 21108

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1245736008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 CLOVERLEAF DR STE 309",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081536",
            "telephone_number": "410-729-8406",
            "fax_number": "410-987-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 2ND AVE",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847531",
            "telephone_number": "844-334-3818",
            "fax_number": "410-987-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH MANOR HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-729-8406"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.