Active NPI
Birch Manor Healthcare Center, LLC
- Skilled Nursing Facility
- Sykesville, MD
National Provider Identifier
1245736008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2005788 | Birch Manor Healthcare Center LLC | Certificate of waiver | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.