Active NPI
Catonsville MD Opco LLC
- Skilled Nursing Facility
- Catonsville, MD
National Provider Identifier
1720697352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CATONSVILLE MD OPCO LLC
- Practice address
- 711 Academy Rd
Catonsville, MD 21228-1802 - Phone
- (410) 788-3300
- NPI assigned
- Jul 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Batya Gorelick
- Title
- VP of Admin Services
- Phone
- (410) 788-3300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
711 Academy Rd
Catonsville, MD 21228-1802
Mailing address
440 Sylvan Ave Ste 240
Englewood Cliffs, NJ 07632-2700
Other names 1
- Peak Healthcare at Frederick Villa
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1720697352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SYLVAN AVE STE 240",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 ACADEMY RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281802",
"telephone_number": "410-788-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATONSVILLE MD OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "GORELICK",
"authorized_official_first_name": "BATYA",
"authorized_official_title_or_position": "VP OF ADMIN SERVICES",
"authorized_official_telephone_number": "410-788-3300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peak Healthcare at Frederick Villa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.