NPIMap

Organization Active NPI

Frederick Villa Investments & Associates, LLC

Doing business as Frederick Villa Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Catonsville, MD
National Provider Identifier
1447241559
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
783 Issued in MD
Legal business name
FREDERICK VILLA INVESTMENTS & ASSOCIATES, LLC
Doing business as
Frederick Villa Nursing & Rehabilitation Center
Practice address
711 Academy Rd
Catonsville, MD 21228-1802
Phone
(410) 788-3300
NPI assigned
Oct 31, 2005
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. John P. O'Brien Jr.
Title
Chief Manager
Phone
(423) 308-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 783 MD Primary

Addresses

Primary practice location

711 Academy Rd
Catonsville, MD 21228-1802

Mailing address

711 Academy Rd
Catonsville, MD 21228-1802
Phone (410) 788-3300

Other identifiers 1

IdentifierTypeStateIssuer
122627400MedicaidMD

Other names 1

  • Frederick Villa Nursing & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1447241559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ACADEMY RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281802",
            "telephone_number": "410-788-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ACADEMY RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281802",
            "telephone_number": "410-788-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK VILLA INVESTMENTS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122627400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Villa Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.