Reeders Facility Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REEDERS FACILITY OPERATIONS, LLC

Doing business as

Reeders Memorial Home

Practice address

141 S Main St
Boonsboro, MD 21713-1203

Phone

(301) 432-5457

Fax

(301) 432-4987

NPI assigned

Dec 18, 2006

Last updated

Sep 1, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

CONSULATE HEALTH CARE, LLCAs reported in NPPES

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

Authorized official

Name

Joseph Conte

Title

Chief Executive Officer

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reeders Memorial Home Doing business as

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1346303757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516148",
            "telephone_number": "407-571-1550",
            "fax_number": "407-571-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131203",
            "telephone_number": "301-432-5457",
            "fax_number": "301-432-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDERS FACILITY OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSULATE HEALTH CARE, LLC",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411258000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reeders Memorial Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Stephanie Portillo
• Privia Medical Group, LLC
• Elizabeth Kesecker Proctor
• Meghan Redding
• Reeders (Reeders Memorial Home, Inc.)
• Reeders Memorial Home
• Julie Reichard, COTA/L
• Jamie-Leah Reilly, OTR/L
• Genelle Louise Robillard
• Stacy Robinett, LMSW

• Skilled Nursing Facility in Boonsboro, MD
• Providers in Boonsboro, 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 Sep 1, 2015; 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.