New Annapolis Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02002 Issued in MD

Legal business name

NEW ANNAPOLIS NURSING LLC

Practice address

900 Van Buren St
Annapolis, MD 21403-2124

Phone

(301) 858-5810

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Neiswanger

Title

Administrator Owner

Phone

(301) 864-2333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1265439004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VAN BUREN ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032124",
            "telephone_number": "301-858-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VAN BUREN ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032124",
            "telephone_number": "301-858-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ANNAPOLIS NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "NEISWANGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "301-864-2333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "02002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406204300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Annapolis, MD
• Providers in Annapolis, 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 Oct 23, 2008; 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.