NMS Healthcare of Hagerstown LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NMS HEALTHCARE OF HAGERSTOWN LLC

Practice address

14014 Marsh Pike
Hagerstown, MD 21742-1638

Phone

(301) 733-8700

Fax

(301) 714-0057

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Neiswanger

Title

Administrator Owner

Phone

(301) 864-2333

Specialties & licenses 1

Addresses

Other names 1

• Avalon Manor Healthcare Center Former legal business name

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1487739264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 LASALLE RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823302",
            "telephone_number": "301-864-2333",
            "fax_number": "301-714-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 MARSH PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421638",
            "telephone_number": "301-733-8700",
            "fax_number": "301-714-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMS HEALTHCARE OF HAGERSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "NEISWANGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "301-864-2333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Manor Healthcare Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Audrey Nnoli, NP
• Mary Beth Noble, LCPC
• Jessica Lyn Noel, BA

• Skilled Nursing Facility in Hagerstown, MD
• Providers in Hagerstown, 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 Oct 23, 2008; 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.