HOMEWOOD AT FREDERICK MD, INC. (NPI# 1184620395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184620395 |
Entity Type | Organization |
Organization Name | HOMEWOOD AT FREDERICK MD, INC. |
Other Organization Name | HOMEWOOD AT CRUMLAND |
Practice Address |
7407 Willow Rd Frederick MD 21702-2500 |
Practice Telephone | 3016445600 |
Practice Fax Number | 3012936331 |
Mailing Telephone | 3016445600 |
Mailing Fax Number | 3012936331 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2010-07-06 |
Authorized Official Name | MR. ERIC T. NICHOLS (SITE DIRECTOR) |
Authorized Official Telephone | 3016445600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 10009 | MD | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 852125500 | 05 |
Other Name | Type Code |
---|---|
Homewood at Crumland | Other Name - Individual/Organization |
Street Address |
7407 WILLOW RD |
City | FREDERICK |
State | MD |
Zip Code | 21702-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891253696 | Brenda Denise Herr | Occupational Therapy Assistant | 7407 Willow Rd, Frederick, MD 21702-2500 | 2019-03-11 |
1366907792 | Cortney Brianna Golden | Physical Therapy Assistant | 7407 Willow Rd, Frederick, MD 21702-2500 | 2019-02-11 |
1184198996 | Clarissa Gosnell | Physical Therapy Assistant | 7407 Willow Rd, Frederick, MD 21702-2500 | 2019-01-15 |
1811461643 | Leah Pfister | Physical Medicine & Rehabilitation | 7407 Willow Rd, Frederick, MD 21702-2500 | 2019-01-15 |
1922572742 | Jenne Marie Assard Sellers | Physical Therapist | 7407 Willow Rd, Frederick, MD 21702-2500 | 2019-01-15 |
1295209054 | Joanna Catherine Yorks Schuster | Physical Medicine & Rehabilitation | 7407 Willow Rd, Frederick, MD 21702-2500 | 2019-01-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
Find all providers in zip 21702 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
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1023357456 | Genesis Rehab Services | Skilled Nursing Facility | 11248 Alton Rd, Frederick, MD 21701-3442 | 2013-02-05 |
1417048273 | Cole Bros. Inc. | Skilled Nursing Facility | 313 E Lucille Ave, Frederick, OK 73542-1427 | 2006-09-27 |
1942241815 | Northampton Manor, Inc. | Skilled Nursing Facility | 200 E 16th St, Frederick, MD 21701-4400 | 2006-06-09 |
1073569653 | College View Center LLC | Skilled Nursing Facility | 700 Toll House Ave, Frederick, MD 21701-4575 | 2006-05-26 |
1427009745 | Ggnsc Frederick LLC | Skilled Nursing Facility | 30 North Pl, Frederick, MD 21701-6200 | 2006-05-12 |
1144217423 | Frederick County Maryland | Skilled Nursing Facility | 1900 Rosemont Ave, Frederick, MD 21702-8249 | 2005-10-03 |
1427059435 | T.j Rock Enterprises, Inc. | Skilled Nursing Facility | 5800 Genesis Ln, Frederick, MD 21703-5116 | 2005-08-02 |
1174186209 | Vindobona Operating Group LLC | Skilled Nursing Facility | 6012 Jefferson Blvd, Frederick, MD 21703-6953 | 2019-04-15 |
1972049633 | North Place Operating Company LLC | Skilled Nursing Facility | 30 North Pl, Frederick, MD 21701-6200 | 2017-01-18 |
1366997421 | Frederick Health Care LLC | Skilled Nursing Facility | 200 E 16th St, Frederick, MD 21701-4400 | 2016-08-18 |
Find all providers in FREDERICK |
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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.