Thi of Maryland at Fort Washington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

16-030 Issued in MD

Legal business name

THI OF MARYLAND AT FORT WASHINGTON LLC

Practice address

12021 Livingston Rd
Fort Washington, MD 20744-4210

Phone

(301) 292-0300

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Box

Title

Evp

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other names 1

• Fort Washington Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1992743520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 LIVINGSTON RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444210",
            "telephone_number": "301-292-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF MARYLAND AT FORT WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "16-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Washington Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fetelwork Teferi
• Eleonora Teke
• Olubumi Fabiyi Temidayo
• The Agape Health Group, Inc
• Therapeutic Freedom Counseling
• Dawn Thomas
• Dileep Thomas
• Ashley Thompson, LCPC, LPC
• Sydnee Thompson, MS, CCC-SLP
• Dominique Thornton, MS, LCPC

• Skilled Nursing Facility in Fort Washington, MD
• Providers in Fort Washington, 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 Sep 21, 2007; 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.