Organization Active NPI

Villa Rosa Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Mitchellville, MD
National Provider Identifier
1346739406
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VILLA ROSA NURSING AND REHABILITATION CENTER LLC
Practice address
3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone
(443) 275-9799
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Barbara McAdams
Title
Director of Ar
Phone
(443) 275-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018

Mailing address

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone (443) 275-9799

Other identifiers 1

IdentifierTypeStateIssuer
750503500MedicaidMD

Other names 1

  • Villa Rosa And Rehabilitation Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346739406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "443-275-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "443-275-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ROSA NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "443-275-9799"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750503500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Rosa And Rehabilitation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Villa Rosa And Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mitchellville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.