NPIMap

Organization Active NPI

Caraway Manor Assisted Living, Inc.

  • Assisted Living Facility
  • Elkton, MD
National Provider Identifier
1508023771
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
07AL026 Issued in MD
Legal business name
CARAWAY MANOR ASSISTED LIVING, INC.
Practice address
2375 Old Field Point Rd
Elkton, MD 21921-6713
Phone
(410) 392-0502
Fax
(410) 392-8092
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mrs. Betty J. Battaglia, OTR/L
Title
Administrator
Phone
(410) 392-0502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 07AL026 MD Primary

Addresses

Primary practice location

2375 Old Field Point Rd
Elkton, MD 21921-6713

Mailing address

2375 Old Field Point Rd
Elkton, MD 21921-6713
Phone (410) 392-0502

Other identifiers 2

IdentifierTypeStateIssuer
242302200MedicaidMD
9456007-01MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Caraway Manor Assisted Living Inc2 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.

Locations

2375 Oldfield Point Rd
Elkton, MD 21921
Phone (410) 392-0502

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1508023771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 OLD FIELD POINT RD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216713",
            "telephone_number": "410-392-0502",
            "fax_number": "410-392-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 OLD FIELD POINT RD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216713",
            "telephone_number": "410-392-0502",
            "fax_number": "410-392-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARAWAY MANOR ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIA",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-392-0502",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "07AL026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242302200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9456007-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

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