Caroline Nursing and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CAROLINE NURSING AND REHABILITATION CENTER, LLC

Practice address

520 Kerr Ave
Denton, MD 21629-1343

Phone

(410) 479-2130

Fax

(410) 987-2430

NPI assigned

Apr 1, 2015

Organization subpart

No

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

Authorized official

Name

Robert G Owens, LNHA

Title

Ceo

Phone

(410) 729-8406

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1487049987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 KERR AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291343",
            "telephone_number": "410-479-2130",
            "fax_number": "410-987-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KERR AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291343",
            "telephone_number": "410-479-2130",
            "fax_number": "410-987-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-729-8406",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline County Health Department, DHMH, MD
• Caroline County Health Dept. Madc
• Caroline County Infant & Toddler Program
• Caroline County Public Schools
• Caroline County Substance Abuse Center
• Caroline Nursing Home, Inc
• Latisha Carter
• Channel Marker, Inc
• Channel Marker, Inc
• Channel Marker, Inc

• All providers in Denton, MD
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.