NPIMap

Organization Active NPI

Oak Crest Village, Inc.

  • Rehabilitation Clinic/Center
  • Parkville, MD
National Provider Identifier
1922051218
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
OAK CREST VILLAGE, INC.
Practice address
8830 Walther Blvd
Attn: Rehabilitation Manager
Parkville, MD 21234-9020
Phone
(410) 655-1000
Fax
(410) 204-7237
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
James K Walter
Title
Finance Director
Phone
(410) 402-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

8830 Walther Blvd
Attn: Rehabilitation Manager
Parkville, MD 21234-9020

Mailing address

8820 Walther Blvd
Attn: Executive Director
Parkville, MD 21234-9025
Phone (410) 655-1000

Other names 1

  • Outpatient Rehabilitation Agency at Oak Crest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000186 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5991773038 Practice locations: Parkville, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Oak Crest Village Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8830 Walther Blvd
Parkville, MD 21234
Phone (410) 655-1000

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1922051218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 WALTHER BLVD",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349025",
            "telephone_number": "410-655-1000",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 WALTHER BLVD",
            "address_2": "ATTN: REHABILITATION MANAGER",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349020",
            "telephone_number": "410-655-1000",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREST VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "410-402-2315"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Rehabilitation Agency at Oak Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.