NPIMap

Organization Active NPI

Julia Manor LLC

Doing business as Julia Manor Health Care Center

  • Skilled Nursing Facility
  • Hagerstown, MD
National Provider Identifier
1962453506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
21-009 Issued in MD
Legal business name
JULIA MANOR LLC
Doing business as
Julia Manor Health Care Center
Practice address
333 Mill St
Hagerstown, MD 21740-6473
Phone
(301) 665-8700
Fax
(301) 393-0804
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dominick J Perini
Title
Managing Member
Phone
(301) 745-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 21-009 MD Primary

Addresses

Primary practice location

333 Mill St
Hagerstown, MD 21740-6473

Mailing address

333 Mill St
Hagerstown, MD 21740-6473
Phone (301) 665-8700

Other identifiers 1

IdentifierTypeStateIssuer
79OtherMDBLUE CROSS/BLUE SHIELD #

Other names 1

  • Julia Manor Health Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962453506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MILL ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406473",
            "telephone_number": "301-665-8700",
            "fax_number": "301-393-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MILL ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406473",
            "telephone_number": "301-665-8700",
            "fax_number": "301-393-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-745-8700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "21-009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD #",
            "identifier": "79",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julia Manor Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.