NPIMap

Organization Active NPI

Reeders

Doing business as Reeders Memorial Home, Inc.

  • Skilled Nursing Facility
  • Boonsboro, MD
National Provider Identifier
1962495515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
21015 Issued in MD
Legal business name
REEDERS
Doing business as
Reeders Memorial Home, Inc.
Practice address
141 S Main St
Boonsboro, MD 21713-1203
Phone
(301) 432-5457
Fax
(301) 432-7412
NPI assigned
Aug 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Melissa Hadley
Title
Executive Director
Phone
(301) 432-1514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 21015 MD Primary

Addresses

Primary practice location

141 S Main St
Boonsboro, MD 21713-1203

Mailing address

141 S Main St
Boonsboro, MD 21713-1203
Phone (301) 432-5457

Other names 1

  • Reeders Memorial Home, Inc. 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": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962495515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131203",
            "telephone_number": "301-432-5457",
            "fax_number": "301-432-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131203",
            "telephone_number": "301-432-5457",
            "fax_number": "301-432-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-432-1514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "21015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reeders Memorial Home, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boonsboro, 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.