Southeast Nursing & Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30089 Issued in MD

Legal business name

SOUTHEAST NURSING & REHABILITATION CENTER

Practice address

5009 Frankford Ave
Baltimore, MD 21206-5353

Phone

(410) 325-4000

Fax

(410) 325-1348

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Louis G Grimmel

Title

Ceo

Phone

(410) 750-7500

Specialties & licenses 1

Addresses

Other names 1

• Lorien Frankford Other name

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740281005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 FRANKFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065353",
            "telephone_number": "410-325-4000",
            "fax_number": "410-325-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 FRANKFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065353",
            "telephone_number": "410-325-4000",
            "fax_number": "410-325-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST NURSING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIMMEL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-750-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorien Frankford",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Baltimore C.a.P. Inc.
• South Baltimore C.a.P. Inc.
• South Baltimore Eye Associtate Inc.
• South Baltinore C.a.P. Inc.
• Nikkita F Southall, M.D.
• Vickie Souther, LCSW-C
• Rachel Tarbert Southward, CRNP-F, FNP-BC,FNP-C
• Sabrina Southwick
• E. Timothy Souweine, M.D.
• Daniel Sova, MD

• 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 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.