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Mdics Rehabilitative Services - Ltcaco LLC

Organization Active NPI Internal Medicine Physician · Crownsville, MD

NPI 1831080233 · NPPES record last updated Jul 14, 2025

Key facts

NPI
1831080233
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
MDICS REHABILITATIVE SERVICES - LTCACO LLC
Practice address
1454 Fairfield Loop Rd
Crownsville, MD 21032-2006
Phone
(410) 923-6820
NPI assigned
Jul 14, 2025
Organization subpart
No

Authorized official

Name
David Sweatt
Title
Cfo
Phone
(240) 841-8714

Corporate family (same tax ID) 30

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

View all 30

National Provider Directory

Tax ID family
Mdics Rehabilitative Services - Ltcaco LLC (31 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

1454 Fairfield Loop Rd
Crownsville, MD 21032-2006

Mailing address

PO Box 69231
Baltimore, MD 21264-9231

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 14, 2025.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1831080233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69231",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649231"
        },
        {
            "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": "MDICS REHABILITATIVE SERVICES - LTCACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "SWEATT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "240-841-8714"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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