Organization Active NPI

University Specialty Hospital

Long Term Care Hospital
Baltimore, MD

National Provider Identifier

1831237684

Registry record updated Apr 20, 2008

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
NPI Registry JSON
Other providers in Baltimore, MD
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Long Term Care HospitalTaxonomy code 282E00000X
License: 30075 Issued in MD
Legal business name: UNIVERSITY SPECIALTY HOSPITAL
Practice address: 611 South Charles Street
Baltimore, MD 21230
Phone: (410) 547-8500
Fax: (410) 821-4189
NPI assigned: Feb 2, 2007
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name: Henry Franey
Title: Senior Vice President & CFD
Phone: (410) 328-3276

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Long Term Care Hospital	282E00000X	30075	MD	Primary

Addresses

Primary practice location

611 South Charles Street
Baltimore, MD 21230

Mailing address

1301 York Road
Suite 600
Lutherville, MD 21093
Phone (410) 821-4162

Other identifiers 6

Identifier	Type	State	Issuer
57390801	Other	MD	BC OF MARYLAND
57390801	Other	MD	BC NASCO
00825700	Medicaid	MD
57390801	Other	MD	BC OUT OF STATE
NK7	Other	MD	BLUE CHOICE BLUE PREFERRE
NK7	Other	MD	BC FEDERAL PROGRAM

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

Hospital certification: CCN 212007

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name: UNIVERSITY SPECIALTY HOSPITAL
Certification status: Terminated Voluntary: merger or closure, Aug 1, 2012
Provider type (POS): Hospital – Long-term
Participating since: Apr 1, 1981
Last certification: Apr 12, 2010
Beds: 180
Ownership / control type: Private (not for profit)
Most recent change of ownership: May 31, 1996 (1 total)
Facility address: 611 S Charles St
Baltimore, MD 21230

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1831237684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK ROAD",
            "address_2": "SUITE 600",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-821-4162",
            "fax_number": "410-821-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SOUTH CHARLES STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21230",
            "telephone_number": "410-547-8500",
            "fax_number": "410-821-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SPECIALTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FRANEY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFD",
        "authorized_official_telephone_number": "410-328-3276"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MD",
            "license": "30075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF MARYLAND",
            "identifier": "57390801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NASCO",
            "identifier": "57390801",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00825700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OUT OF STATE",
            "identifier": "57390801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE BLUE PREFERRE",
            "identifier": "NK7",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FEDERAL PROGRAM",
            "identifier": "NK7",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.