Randallstown Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RANDALLSTOWN HEALTH CARE LLC

Practice address

4511 Robosson Rd
Randallstown, MD 21133-1018

Phone

(410) 922-2443

Fax

(410) 922-4822

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Goedeke

Title

President

Phone

(410) 922-2443

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chapel Hill Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1750831376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ROBOSSON RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331018",
            "telephone_number": "410-922-2443",
            "fax_number": "410-922-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ROBOSSON RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331018",
            "telephone_number": "410-922-2443",
            "fax_number": "410-922-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLSTOWN HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "GOEDEKE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-922-2443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600112200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapel Hill Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haramrit Rajan, PA-C
• Randall Emergency Physicians LLC
• Andrea Nicole Randall, LCSW-C
• Randallstown Center, LLC
• Randallstown Family Eye Care LLC
• Randallstown Health Care LLC
• Randallstown Nursing & Rehab LLC
• Randallstown Primary Care, LLC
• Ramaswamy I Rangarajan, M.D.
• Karuparthy Seshagiri Rao, M.D.,

• Skilled Nursing Facility in Randallstown, MD
• Providers in Randallstown, 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 Feb 10, 2017; 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.