NPIMap

Organization Active NPI

Villa Rosa Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Mitchellville, MD
National Provider Identifier
1962748103
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VILLA ROSA NURSING AND REHABILITATION CENTER LLC
Practice address
3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone
(301) 459-4700
Fax
(301) 459-2741
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Scott Rifkin
Title
Managing Member
Phone
(410) 308-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018

Mailing address

3800 Lottsford Vista Rd
Mitchellville, MD 20721-4018
Phone (301) 459-4700

Other identifiers 1

IdentifierTypeStateIssuer
421553200MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1962748103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "301-459-4700",
            "fax_number": "301-459-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LOTTSFORD VISTA RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214018",
            "telephone_number": "301-459-4700",
            "fax_number": "301-459-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ROSA NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "RIFKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-308-2300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421553200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchellville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.