Calvert County Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

04-002 Issued in MD

Legal business name

CALVERT COUNTY NURSING CENTER INC

Practice address

85 Hospital Road
Prince Frederick, MD 20678-4018

Phone

(410) 535-2300

Fax

(410) 535-1505

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Larry Leroy Younger, R1595 NURSING HOME A

Title

Administrator

Phone

(410) 535-2300

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1831189042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HOSPITAL ROAD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784018",
            "telephone_number": "410-535-2300",
            "fax_number": "410-535-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HOSPITAL ROAD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784018",
            "telephone_number": "410-535-2300",
            "fax_number": "410-535-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT COUNTY NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-535-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R1595 NURSING HOME A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "314000000X",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "04-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043297100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvert County Health Department
• Calvert County Health Department
• Calvert County Health Department
• Calvert County Health Department
• Calvert County Health Department
• Calvert County Public School
• Calvert County Public Schools
• Calvert Dental LLC
• Calvert Dentistry Moy P.a.
• Calvert Dermatology, LLC

• Skilled Nursing Facility in Prince Frederick, MD
• Providers in Prince Frederick, 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 Jul 20, 2010; 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.