Manor Care-Largo MD LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

16-024 Issued in MD

Legal business name

MANOR CARE-LARGO MD LLC

Doing business as

ManorCare Health Services - Largo

Practice address

600 Largo Rd
Largo, MD 20774-2122

Phone

(301) 350-5555

Fax

(301) 808-0475

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ManorCare Health Services - Largo Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1760438949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LARGO RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742122",
            "telephone_number": "301-350-5555",
            "fax_number": "301-808-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE-LARGO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "16-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413509100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services - Largo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shadana Maddox, PHARMD
• Tara Janen Mahan, PA
• Andrea Malloy
• Annastasia Manka
• Lisa Manley, LGSW
• Leul Mekonnen Manyazewal, M.D.
• Mexan Mapouka, MD, MPH
• Marcos S Faltamo Crna PC
• Makayla Dominique Marshall
• Maryland Oncology Hematology, P.a.

• Skilled Nursing Facility in Largo, MD
• Providers in Largo, 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 Jun 5, 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.