NPIMap

Organization Active NPI

Glade Valley Nursing & Rehabilitation Center Inc

Doing business as Glade Valley Nursing and Rehab Center

  • Skilled Nursing Facility
  • Walkersville, MD
National Provider Identifier
1861499030
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLADE VALLEY NURSING & REHABILITATION CENTER INC
Doing business as
Glade Valley Nursing and Rehab Center
Practice address
56 W Frederick St
Walkersville, MD 21793-8254
Phone
(301) 898-4304
Fax
(301) 898-4343
NPI assigned
Jul 4, 2005
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Richard A Marizan
Title
Director, Central Business Office
Phone
(301) 315-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MD Primary

Addresses

Primary practice location

56 W Frederick St
Walkersville, MD 21793-8254

Mailing address

56 W Frederick St
Walkersville, MD 21793-8254
Phone (301) 898-4304

Other names 1

  • GLADE VALLEY NURSING AND REHAB CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
56 West Frederick Street Operations 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1861499030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W FREDERICK ST",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217938254",
            "telephone_number": "301-898-4304",
            "fax_number": "301-898-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W FREDERICK ST",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217938254",
            "telephone_number": "301-898-4304",
            "fax_number": "301-898-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE VALLEY NURSING & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "MARIZAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, CENTRAL BUSINESS OFFICE",
        "authorized_official_telephone_number": "301-315-3272"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLADE VALLEY NURSING AND REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walkersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.