Mid-Atlantic of Chapel Hill LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03009 Issued in MD

Legal business name

MID-ATLANTIC OF CHAPEL HILL LLC

Practice address

4511 Robosson Rd
Randallstown, MD 21133-1018

Phone

(410) 922-2443

Fax

(410) 922-4822

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott Rifkin, M.D.

Title

Ceo

Phone

(410) 308-2300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1992963367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ROBOSSON RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331018",
            "telephone_number": "410-922-2443",
            "fax_number": "410-922-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ROBOSSON RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331018",
            "telephone_number": "410-922-2443",
            "fax_number": "410-922-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC OF CHAPEL HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "RIFKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-308-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414969600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Randallstown, MD
• Providers in Randallstown, 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 Oct 24, 2008; 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.