Caroline Nursing Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-001 Issued in MD

Legal business name

CAROLINE NURSING HOME, INC

Doing business as

Caroline Nursing & Rehab Center, Inc

Practice address

520 Kerr Ave
Denton, MD 21629-1343

Phone

(410) 479-2130

Fax

(410) 479-3057

NPI assigned

Aug 17, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Norma L. Schultz, NHA

Title

Administrator

Phone

(410) 479-2130

Specialties & licenses 1

Addresses

Other names 1

• Caroline Nursing & Rehab Center, Inc Doing business as

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821080805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 KERR AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291343",
            "telephone_number": "410-479-2130",
            "fax_number": "410-479-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KERR AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291343",
            "telephone_number": "410-479-2130",
            "fax_number": "410-479-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-479-2130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "05-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caroline Nursing & Rehab Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline County Health Dept. Madc
• Caroline County Infant & Toddler Program
• Caroline County Public Schools
• Caroline County Substance Abuse Center
• Caroline Nursing and Rehabilitation Center, LLC
• Latisha Carter
• Channel Marker, Inc
• Channel Marker, Inc
• Channel Marker, Inc
• Marian Denise Chodnicki, RPH

• Skilled Nursing Facility in Denton, MD
• Providers in Denton, 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.