Crownsville Health Care LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CROWNSVILLE HEALTH CARE LLC

Doing business as

Fairfield Nursing and Rehabilitation Center

Practice address

1454 Fairfield Loop Rd
Crownsville, MD 21032-2006

Phone

(410) 923-6820

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Leanna Lennox

Title

President

Phone

(410) 923-6820

Specialties & licenses 3

Addresses

Other names 1

• Fairfield Nursing and Rehabilitation Center Doing business as

Tax ID family

Crownsville Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crownsville Health Care LLC

  • Skilled Nursing Facility
  • Crownsville, MD
  • NPI 1649725797
  NPD tax ID

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1780117127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 FAIRFIELD LOOP RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322006",
            "telephone_number": "410-923-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNSVILLE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "LENNOX",
        "authorized_official_first_name": "LEANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-923-6820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chrysalis House, Inc.
• Comprehensive Rehab Consultants PLLC
• William Michael Copeland, MS, RN, CRNP, CEN
• Crownsville Foot and Ankle Center LLC
• Crownsville Health Care LLC
• Betsy Gill Crozier, PH.D.
• Maryellen Davis
• Sonya Warren Davis
• Patricia Ann Deltuva, PTA
• Corey M Dirks

• Occupational Therapist in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.