Manor Care-Dulaney MD LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03-011 Issued in MD

Legal business name

MANOR CARE-DULANEY MD LLC

Doing business as

ManorCare Health Services-Dulaney

Practice address

111 West Rd
Towson, MD 21204-2315

Phone

(410) 828-6500

Fax

(410) 583-1709

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ManorCare Health Services-Dulaney Doing business as

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1972550689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEST RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042315",
            "telephone_number": "410-828-6500",
            "fax_number": "410-583-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE-DULANEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03-011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413510500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services-Dulaney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gena T Manley, M.D.
• Giles Harrison Manley, M.D.
• Elizabeth Michelle Mann, MS CCC-SLP
• Mark C Manning, PTA
• Manor Care of Towson LLC (ProMedica Skilled Nursing and Rehabilitation (Towson))
• Manor Care-Ruxton MD, LLC (ProMedica Skilled Nursing and Rehabilitation (Ruxton))
• Kayla Manouse
• Aminata Mansaray
• William E Mansbach, PH.D
• Theodore Thomas Manson, MD

• Skilled Nursing Facility in Towson, MD
• Providers in Towson, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.