Milford Manor Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03-024 Issued in MD

Legal business name

MILFORD MANOR CORPORATION

Doing business as

Milford Manor Nursing & Rehabilitation Center

Practice address

4204 Old Milford Mill Rd
Pikesville, MD 21208-6031

Phone

(410) 486-1500

Fax

(410) 653-5530

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary D Raffel

Title

Ceo

Phone

(410) 415-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milford Manor Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1295726149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 OLD MILFORD MILL RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086031",
            "telephone_number": "410-486-1500",
            "fax_number": "410-653-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 OLD MILFORD MILL RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086031",
            "telephone_number": "410-486-1500",
            "fax_number": "410-653-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD MANOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "RAFFEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-415-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21-5022",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Manor Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Pikesville, MD
• Providers in Pikesville, 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 Aug 3, 2007; 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.