Thi of Maryland at Northwest LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30-033 Issued in MD

Legal business name

THI OF MARYLAND AT NORTHWEST LLC

Doing business as

Northwest Health and Rehabilitation Center

Practice address

4601 Pall Mall Rd
Baltimore, MD 21215-6414

Phone

(410) 664-5551

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Box

Title

Evp

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other names 1

• Northwest Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1689612020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PALL MALL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156414",
            "telephone_number": "410-664-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF MARYLAND AT NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa M. Peet, M.D.,P.a.
• Erin Theriot
• Lindly Theroux, D.O.
• Thi of Maryland at Franklin Square LLC
• Thi of Maryland at Liberty Heights LLC
• Adji Thiam
• Kyle Harrison Thibodeau, M.D.
• Jeffrey Paul Thiboutot, M.D.
• Alexandria M B Thielmeyer, PHD
• David Thiemann, M.D.

• Skilled Nursing Facility in Baltimore, MD
• Providers in Baltimore, 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 Sep 21, 2007; 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.