NPIMap

Organization Active NPI

Scotland Manor

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1487946828
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
30AL2686-B Issued in MD
Legal business name
SCOTLAND MANOR
Practice address
2900 Boarman Ave
Baltimore, MD 21215-6610
Phone
(443) 205-7422
Fax
(410) 366-2108
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Ms. Larae Renette Wilson
Title
Billing Supervisor
Phone
(443) 205-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 30AL2686-B MD Primary

Addresses

Primary practice location

2900 Boarman Ave
Baltimore, MD 21215-6610

Mailing address

2900 Boarman Ave
Baltimore, MD 21215-6610
Phone (443) 205-7422

National Provider Directory

National Provider Directory
Tax ID family
HCFM LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1487946828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BOARMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156610",
            "telephone_number": "443-205-7422",
            "fax_number": "410-366-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BOARMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156610",
            "telephone_number": "443-205-7422",
            "fax_number": "410-366-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LARAE",
        "authorized_official_middle_name": "RENETTE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "443-205-7422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30AL2686-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.