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Brooke Grove Foundation, Inc.

Organization Active NPI Assisted Living Facility · Sandy Spring, MD

NPI 1659575959 · NPPES record last updated May 4, 2016

Key facts

NPI
1659575959
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
15AL139 (MD)
Legal business name
BROOKE GROVE FOUNDATION, INC.
Practice address
1614 Hickory Knoll Rd
Sandy Spring, MD 20860-1347
Phone
(301) 924-2811
NPI assigned
Jun 12, 2007
Organization subpart
No

Authorized official

Name
Mr. Dennis Karl Hunter
Title
Vice President
Phone
(301) 924-2811

Corporate family (same tax ID) 2

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2250162Brooke Grove Foundation,LNC Dba the Woods 1614
1614 Hickory Knoll Road, Sandy Spring, MD 20860		Certificate of waiverJan 24, 2028

National Provider Directory

Tax ID family
Geriatric Associates (3 organizations share this tax ID)

Locations

1614 Hickory Knoll Rd
Sandy Spring, MD 20860
Phone (301) 924-1228

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 15AL139 MD Yes

Addresses

Primary practice location

1614 Hickory Knoll Rd
Sandy Spring, MD 20860-1347

Mailing address

1614 Hickory Knoll Rd
Sandy Spring, MD 20860-1347
Phone (301) 924-2811

Other names

  • The Woods Doing business as

Other providers in Sandy Spring, MD

All providers in Sandy Spring, MD · Assisted Living Facility in Maryland

Sources for this page

Verify at the official NPI Registry.