NPIMap

Organization Active NPI

Frederick Villa Nursing & Rehab

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1992805303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FREDERICK VILLA NURSING & REHAB
Practice address
711 Academy Rd
Baltimore, MD 21228-1802
Phone
(410) 788-3300
Fax
(410) 788-6598
NPI assigned
Sep 25, 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
Mr. Richard Goldsmith
Title
Administrator
Phone
(410) 788-3300

Specialties & licenses 1

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

Addresses

Primary practice location

711 Academy Rd
Baltimore, MD 21228-1802

Mailing address

711 Academy Rd
Baltimore, MD 21228-1802
Phone (410) 788-3300

National Provider Directory

National Provider Directory
Tax ID family
Frederick Villa Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992805303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ACADEMY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281802",
            "telephone_number": "410-788-3300",
            "fax_number": "410-788-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ACADEMY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281802",
            "telephone_number": "410-788-3300",
            "fax_number": "410-788-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK VILLA NURSING & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-788-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, 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.