Deerfield Healthcare Corp.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

DEERFIELD HEALTHCARE CORP.

Doing business as

Deerfield Senior Center of Westminster

Practice address

1135 Business Pkwy S
Suite 60
Westminster, MD 21157-3019

Phone

(410) 857-0400

Fax

(410) 857-0142

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Kris W. Baldock

Title

Chairman, Ceo, President

Phone

(443) 548-2201

Specialties & licenses 1

Addresses

Other names 1

• Deerfield Senior Center of Westminster Doing business as

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720123821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REDLAND CT",
            "address_2": "SUITE 114",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173270",
            "telephone_number": "443-548-2200",
            "fax_number": "443-548-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BUSINESS PKWY S",
            "address_2": "SUITE 60",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573019",
            "telephone_number": "410-857-0400",
            "fax_number": "410-857-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHAIRMAN, CEO, PRESIDENT",
        "authorized_official_telephone_number": "443-548-2201"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deerfield Senior Center of Westminster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Juanita Davis
• Dawn Ader O'Meally, LCSW-C, P.a.
• Elaina Dean
• Nicholas William Deangelis, M.D.
• Sarah Dedmon, CRNP
• Deerfield Healthcare Corp.
• Gabriel Alfonso Del Corral, M.D.
• Pamela Ann Del Nero, LCSW-C
• Kimberly Ann Johnston Deltuva, M.D.
• Deborah Dembeck

• Rehabilitation Clinic/Center in Westminster, MD
• Providers in Westminster, MD by specialty
• Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.