Atrium Village Development, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

03AL695 Issued in MD

Legal business name

ATRIUM VILLAGE DEVELOPMENT, LLC

Practice address

4730 Atrium CT
Owings Mills, MD 21117-3556

Phone

(410) 363-0330

Fax

(410) 363-8795

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Marcella Wilkinson

Title

Corporate Director

Phone

(610) 925-4045

Specialties & licenses 1

Addresses

Other names 1

• Atrium Village Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1902851827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 ATRIUM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173556",
            "telephone_number": "410-363-0330",
            "fax_number": "410-363-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM VILLAGE DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "610-925-4045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "03AL695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Owings Mills, MD
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.