JENKINS MEMORIAL NURSING HOME INC (NPI# 1295727485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295727485 |
| Entity Type | Organization |
| Organization Name | JENKINS MEMORIAL NURSING HOME INC |
| Other Organization Name | ST ELIZABETH REHAB AND NURSING CENTER |
| Practice Address |
3320 Benson Ave Baltimore MD 21227-1035 |
| Practice Telephone | 4106447100 |
| Practice Fax Number | 4106442154 |
| Mailing Telephone | 4106447100 |
| Mailing Fax Number | 4106442154 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | MRS. CHRISTINE L. MOUR (ADMINISTRATOR) |
| Authorized Official Telephone | 4106466509 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 30-032 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 300827400 | 05 | |
| MD | BLUE CROSS/BLUE SHIELD | 59017401 | 01 |
| Other Name | Type Code |
|---|---|
| St Elizabeth Rehab and Nursing Center | Doing Business As Name - Organization |
| Street Address |
3320 BENSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21227-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043792401 | Donald Riordan | Occupational Therapy Assistant | 3320 Benson Ave, Baltimore, MD 21227 | 2018-09-02 |
| 1114409885 | Lauren Ashley Jensen | Speech-Language Pathologist | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2018-08-30 |
| 1508347519 | Shaleeta Jones | Speech-Language Pathologist | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2018-08-27 |
| 1487169892 | Jamarr Antionne Porter | Occupational Therapist | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2017-12-07 |
| 1477067726 | Debelyn Mones Valdez | Physical Therapist | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2017-11-24 |
| 1538611884 | Erin Clark | Speech-Language Pathologist | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2016-11-02 |
| 1841742129 | Mary Schwartz | Speech-Language Pathologist | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2016-11-02 |
| 1033569082 | Mario Nestor Balderian Guevarra | Physical Therapist | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2016-06-20 |
| 1336598390 | Kindred Rehab Care | Skilled Nursing Facility | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2016-06-09 |
| 1598120800 | Nina Roshanshad Moeinzadeh | Occupational Therapy Assistant | 3320 Benson Ave, Baltimore, MD 21227-1035 | 2015-12-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
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| 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 |
|---|---|---|---|---|
| 1578927489 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 North Point Rd, Baltimore, MD 21224-3307 | 2016-04-06 |
| 1851770374 | Celia Alicia Akossiwa Essi Yovo | Skilled Nursing Facility | 4821 Belair Rd, Baltimore, MD 21206-5731 | 2015-05-29 |
| 1740555986 | Nissim S Rakhminov | Skilled Nursing Facility | 6716 Old Pimlico Rd, Baltimore, MD 21209-1612 | 2012-03-21 |
| 1962790717 | Blue Point Snf LLC | Skilled Nursing Facility | 2525 West Belvedere Ave, Baltimore, MD 21215 | 2011-07-14 |
| 1396044608 | Acc Green House Residences, Inc | Skilled Nursing Facility | 1010 E 33rd St, Baltimore, MD 21218-3636 | 2011-03-25 |
| 1811294226 | Mercy Villa Convent, Inc. | Skilled Nursing Facility | 6806 Bellona Ave, Baltimore, MD 21212-1219 | 2011-02-21 |
| 1972785004 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 Old Northpoint Rd, Baltimore, MD 21224-3307 | 2007-11-30 |
| 1831310143 | The Wesley | Skilled Nursing Facility | 2211 W Rogers Ave, Baltimore, MD 21209-4424 | 2007-05-02 |
| 1760543367 | Aslc Opco Md I, LLC | Skilled Nursing Facility | 1300 Windlass Dr, Baltimore, MD 21220-4126 | 2006-12-13 |
| 1417045691 | Rock Glen Healthcare, Inc. | Skilled Nursing Facility | 10 N Rock Glen Rd, Baltimore, MD 21229-3250 | 2006-10-11 |
| Find all providers in BALTIMORE | ||||
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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.