VILLA ROSA NURSING HOME (NPI# 1245286368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245286368 |
| Entity Type | Organization |
| Organization Name | VILLA ROSA NURSING HOME |
| Other Organization Name | VILLA ROSA NURSING HOME |
| Practice Address |
3800 Lottsford Vista Rd Mitchellville MD 20721-4018 |
| Practice Telephone | 3014594700 |
| Practice Fax Number | 3014290646 |
| Mailing Telephone | 3014594700 |
| Mailing Fax Number | 3014290646 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NEVA BABCOCK (ADMINISTRATOR) |
| Authorized Official Telephone | 3014594700 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 16020 | MD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Villa Rosa Nursing Home | Other Name - Individual/Organization |
| Street Address |
3800 LOTTSFORD VISTA RD |
| City | MITCHELLVILLE |
| State | MD |
| Zip Code | 20721-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346739406 | Villa Rosa Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2018-05-04 |
| 1598287880 | Guy B Tchamologne | Registered Nurse | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2017-07-09 |
| 1932632387 | Mitchellville Health Care LLC | Physical Therapist | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2017-04-04 |
| 1508311663 | Mitchellville Health Care LLC | Skilled Nursing Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2016-08-18 |
| 1851746903 | Surya Lama | Physical Therapist | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2016-04-26 |
| 1962748103 | Villa Rosa Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2012-12-17 |
| 1598071375 | Erika L Eades | Occupational Therapist | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2010-08-31 |
| 1861559825 | Revia Michelle Veney | Nurse Practitioner | 3800 Lottsford Vista Rd, Skilled Nursing Facility-, Mitchellville, MD 20721-4018 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| 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 |
| 1033264973 | The Grand Lodge of Ancient Free and Accepted Masons of Maryland | Nursing Facility/Intermediate Care Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2007-01-23 |
| 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 |
| 1013960970 | One Price Drive Operations LLC | Nursing Facility/Intermediate Care Facility | 1 Price Dr, Elkton, MD 21921-6731 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
| City | MITCHELLVILLE |
| Zip Code | 20721 |
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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.