DIAKON LUTHERAN SENIOR LIVING - MARYLAND LLC (NPI# 1023075389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023075389 |
| Entity Type | Organization |
| Organization Name | DIAKON LUTHERAN SENIOR LIVING - MARYLAND LLC |
| Other Organization Name | THE VILLAGE AT ROBINWOOD |
| Practice Address |
19800 Tranquility Cir Hagerstown MD 21742-4042 |
| Mailing Address |
1022 North Union Street Middletown PA 17057-2158 |
| Practice Telephone | 2404204100 |
| Mailing Telephone | 7177950386 |
| Mailing Fax Number | 7177950353 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | JARROD LEO (SENIOR VP, FINANCIAL PLANNING & OPE) |
| Authorized Official Telephone | 7177950309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 21AL020 | MD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Village at Robinwood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861459430 | Diakon Lutheran Senior Living - Maryland LLC | Skilled Nursing Facility | 1183 Luther Dr, Hagerstown, MD 21740-7407 | 2006-04-27 |
| Street Address |
19800 TRANQUILITY CIR |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649760836 | Calla Ashley Loadman | Speech-Language Pathologist | 19800 Tranquility Cir, Hagerstown, MD 21742 | 2018-05-14 |
| 1760902027 | Stephanie Kay Cooke | Speech-Language Pathologist | 19800 Tranquility Cir, Hagerstown, MD 21742-4042 | 2017-06-27 |
| 1831348309 | Diakon Lutheran Senior Living-maryland Ravenwood Campus | Nursing Facility/Intermediate Care Facility | 19800 Tranquility Cir, Hagerstown, MD 21742-4042 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265827448 | Greenfield of Hagerstown LLC | Assisted Living Facility | 310 Cameo Dr, Hagerstown, MD 21740-5854 | 2015-04-03 |
| 1023397965 | Cj's Senior Care, Inc. | Assisted Living Facility | 145 King St, Hagerstown, MD 21740-5732 | 2011-08-10 |
| 1578884714 | Golden Retreat Assisted Living | Assisted Living Facility | 673 Highland Way, Hagerstown, MD 21740-6287 | 2010-06-22 |
| 1740343698 | Hagerstown Heritage Partners, LLC | Assisted Living Facility | 10116 Sharpsburg Pike, Hagerstown, MD 21740 | 2006-12-19 |
| 1659431567 | Hagerstown Heritage Partners, LLC | Assisted Living Facility | 10114 Sharpsburg Pike, Hagerstown, MD 21740 | 2006-12-11 |
| 1679121289 | Snh Md Tenant LLC | Assisted Living Facility | 10114 Sharpsburg Pike, Hagerstown, MD 21740-1320 | 2019-08-27 |
| 1942857941 | Snh Md Tenant LLC | Assisted Living Facility | 10116 Sharpsburg Pike, Hagerstown, MD 21740-1308 | 2019-08-23 |
| 1144886458 | Emeritol Lo Hagerstown | Assisted Living Facility | 20009 Rosebank Way, Hagerstown, MD 21742-6739 | 2019-05-13 |
| 1376109819 | Ec Opco Hagerstown, LLC | Assisted Living Facility | 1175 Professional Ct, Hagerstown, MD 21740-5906 | 2019-05-09 |
| 1457496044 | Emeritus Corporation | Assisted Living Facility | 20009 Rosebank Way, Hagerstown, MD 21742 | 2007-02-21 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on DIAKON LUTHERAN SENIOR LIVING - MARYLAND LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.