Winifred Road Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINIFRED ROAD HEALTH CARE LLC

Practice address

512 Winifred Rd
Cumberland, MD 21502-6396

Phone

(301) 722-5535

Fax

(301) 724-5801

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Kam McGavock

Title

President

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1629523840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WINIFRED RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026396",
            "telephone_number": "301-722-5535",
            "fax_number": "301-724-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINIFRED ROAD HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "MCGAVOCK",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Wilt, ADT
• Sondra Lynn Wine
• Loren Elizabeth Winebrenner, CRNP
• Caprea Shele Wingate, ADT
• Winifred Leasing Co., LLC (Cumberland Healthcare Center)
• Katie Winner, PA
• Allison Denise Wiseman, NP
• WMHS Braddock Hospital Corporation (Formerly Sacred Heart Hospital) (Western Maryland Health System Extended Care Unit)
• WMRS Inc
• Bryan John Wodaski, MS OTRL CHT

• Skilled Nursing Facility in Cumberland, MD
• Providers in Cumberland, 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 Aug 17, 2016; 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.