THE GRAND LODGE OF ANCIENT FREE AND ACCEPTED MASONS OF MARYLAND


Address: 300 International Cir, Cockeysville, MD 21030-1300
Phone: 4105271111

THE GRAND LODGE OF ANCIENT FREE AND ACCEPTED MASONS OF MARYLAND (NPI# 1033264973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033264973
Entity Type Organization
Organization Name THE GRAND LODGE OF ANCIENT FREE AND ACCEPTED MASONS OF MARYLAND
Other Organization Name MARYLAND MASONIC HOMES
Practice Address 300 International Cir
Cockeysville
MD 21030-1300
Practice Telephone 4105271111
Practice Fax Number 4105271379
Mailing Telephone 4105271111
Mailing Fax Number 4105271379
Enumeration Date 2007-01-23
Last Update Date 2014-06-20
Authorized Official Name MRS. PAULA LEE O NEILL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4105271111
Authorized Official Credential NURSING HOME ADM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 03023 MD Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Maryland Masonic Homes Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790327633 The Grand Lodge of Ancient Free and Accepted Masons of Maryland Skilled Nursing Facility 300 International Cir, Cockeysville, MD 21030-1300 2019-10-11

Office Location

Street Address 300 INTERNATIONAL CIR
City COCKEYSVILLE
State MD
Zip Code 21030-1300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790327633 The Grand Lodge of Ancient Free and Accepted Masons of Maryland Skilled Nursing Facility 300 International Cir, Cockeysville, MD 21030-1300 2019-10-11
1053975888 Megumi Otake Occupational Therapist 300 International Cir, Cockeysville, MD 21030-1300 2019-04-26
1528622594 Andrea Clodfelter Physical Therapist 300 International Cir, Cockeysville, MD 21030-1300 2019-04-25
1912424581 Maryland Masonic Homes. Ltd Skilled Nursing Facility 300 International Cir, Cockeysville, MD 21030-1300 2017-08-24
1447634688 Alexa Mulieri Speech-Language Pathologist 300 International Cir, Cockeysville, MD 21030-1300 2015-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003450396 Transcend Services Inc Interpreter 109-44 Beaver Dam Rd, Ste B, Hunt Valley, MD 21030 2019-10-30
1275015695 Tiara Johnson Behavior Technician 201 International Circle, Hunt Valley, MD 21030 2018-09-01
1942795729 Jackson's Nurse Practitioner Housecalls LLC Family Medicine 12 Kings Crossing Ct Apt L, Cockeysville, MD 21030 2018-06-25
1336653955 A Nurse of Your Own & Co Recruitment Firm LLC Hospice Care, Community Based 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 2017-11-17
1871012278 Jahnelle Danica Mclennan Dentist 5 Shawan Rd Ste 2, Hunt Valley, MD 21030 2017-09-17
1326423773 Casey Ball Case Management 210 International Circle Suite 230, Hunt Valley, MD 21030 2015-07-28
1558705913 Cortney J Johnstone Occupational Therapist 102 Lakefront Drive, Hunt Valley, MD 21030 2013-04-29
1104189257 Hilary T Harrington Counselor 11311 Mccormick Road, 350, Hunt Valley, MD 21030 2012-06-22
1164715413 Nichole Lea Edmond Speech-Language Pathologist 1508 Heather Hill Lane, Cockeysville, MD 21030 2011-05-19
1134440282 Rabab Al-amin Acupuncturist 215 Wickersham Way, Cockeysville, MD 21030 2010-06-11
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003386780 Post-acute Care Center Opco LLC Nursing Facility/Intermediate Care Facility 5009 Frankford Avenue, Baltimore, MD 21206-5353 2018-11-26
1215301973 Premier Therapy Services Nursing Facility/Intermediate Care Facility 3203 University Blvd W Apt 22, Kensington, MD 20895-1817 2015-11-18
1114356516 Metero Cars Nursing Facility/Intermediate Care Facility 7611 Riverdale Rd Apt 302, New Carrollton, MD 20784-3750 2013-11-06
1275882318 Unique Qualities, LLC Nursing Facility/Intermediate Care Facility 7514 Martha St, District Heights, MD 20747-3621 2012-09-05
1598973448 Linda L Powe Nursing Facility/Intermediate Care Facility 200 S Rock Glen Rd, Baltimore, MD 21229-3249 2007-05-21
1154449049 Rainbow Adhc Nursing Facility/Intermediate Care Facility 8400 Helgerman Ct, Gaithersburg, MD 20877-4131 2007-03-27
1639186695 Coffman Nursing Home Inc Nursing Facility/Intermediate Care Facility 1304 Pennsylvania Ave, Hagerstown, MD 21742-3198 2006-08-02
1629013925 Wicomico Nursing Home Nursing Facility/Intermediate Care Facility 900 Booth St, Salisbury, MD 21801-3006 2006-06-19
1245286368 Villa Rosa Nursing Home Nursing Facility/Intermediate Care Facility 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 2006-05-26
1013960970 One Price Drive Operations LLC Nursing Facility/Intermediate Care Facility 1 Price Dr, Elkton, MD 21921-6731 2006-05-19
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Competitor

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City COCKEYSVILLE
Zip Code 21030

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Dataset Information

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.

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