SHADY GROVE SNF LLC


Address: 9701 Medical Center Dr, Rockville, MD 20850-3326
Phone: 3013151901

SHADY GROVE SNF LLC (NPI# 1366931206) 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) 1366931206
Entity Type Organization
Organization Name SHADY GROVE SNF LLC
Practice Address 9701 Medical Center Dr
Rockville
MD 20850-3326
Practice Telephone 3013151901
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Authorized Official Name ISRAEL BIRNBAUM (AUTHORIZED OFFICIAL)
Authorized Official Telephone 7329056440
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427515071 Shady Grove Snf LLC Assisted Living Facility 9701 Medical Center Dr, Rockville, MD 20850-3326 2019-03-01
1770050395 Shady Grove Snf LLC Occupational Therapist 9701 Medical Center Dr, Rockville, MD 20850-3326 2018-11-01
1578049409 Shady Grove Snf LLC Assisted Living Facility 9701 Medical Center Dr, Rockville, MD 20850-3326 2018-07-13

Office Location

Street Address 9701 MEDICAL CENTER DR
City ROCKVILLE
State MD
Zip Code 20850-3326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043217219 Shady Grove Adventist Nursing & Rehabilitation Center Inc Skilled Nursing Facility 9701 Medical Center Dr, Rockville, MD 20850-3326 2005-07-04
1427515071 Shady Grove Snf LLC Assisted Living Facility 9701 Medical Center Dr, Rockville, MD 20850-3326 2019-03-01
1700350428 Kendra Smart Occupational Therapy Assistant 9701 Medical Center Dr, Rockville, MD 20850-3326 2019-01-15
1770050395 Shady Grove Snf LLC Occupational Therapist 9701 Medical Center Dr, Rockville, MD 20850-3326 2018-11-01
1578049409 Shady Grove Snf LLC Assisted Living Facility 9701 Medical Center Dr, Rockville, MD 20850-3326 2018-07-13
1770089203 Nazneen Nigar Khan Occupational Therapist 9701 Medical Center Dr, Rockville, MD 20850-3326 2018-04-03
1497266696 Samar Amir Hassan Physical Therapy Assistant 9701 Medical Center Dr, Rockville, MD 20850-3326 2017-10-16
1528587219 Joelle Wanette Kee Physical Therapy Assistant 9701 Medical Center Dr, Rockville, MD 20850-3326 2017-09-13
1114447174 Kristin Schea Occupational Therapist 9701 Medical Center Dr, Rockville, MD 20850-3326 2017-06-21
1285179416 Samatra Spires Speech-Language Pathologist 9701 Medical Center Dr, Rockville, MD 20850-3326 2016-12-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487286050 Um Fdsp Associates, P.a. Dentist 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 2020-02-11
1134767874 Bh Brightview Fallsgrove Opco, LLC Alzheimer Center (Dementia Center) 9200 Darnestown Road, Rockville, MD 20850 2019-12-12
1750924205 Omer N Pamuk Internal Medicine 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 2019-10-28
1902456502 Fousseyni M Diawara Radiologic Technologist 1680 E Gude Dr Ste 302, Rockville, MD 20850 2019-09-16
1104485697 Barbara S Delsack Speech-Language Pathologist Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 2019-06-10
1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
1417421843 Wei Li Acupuncturist 9600 Blackwell Road. Suite 300, Rockville, MD 20850 2019-01-18
1881168805 Heather Jean Scurtu Mann Psychologist Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 2019-01-12
1295208486 Laura Hanley Physical Therapy Assistant The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 2019-01-10
1538641964 Shamire Pierre-louis Speech-Language Pathologist 2 Research Place, Rockville, MD 20850 2018-09-01
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427440403 Genesis Rehab Skilled Nursing Facility 1691 Yale Pl, Rockville, MD 20850-1115 2015-02-27
1255404984 Lee Alan Bryant Health Care Facilities Skilled Nursing Facility 3838 E Old 36 Rd, Rockville, IN 47872-7710 2006-11-17
1326148107 Genesis Eldercare Physician Services LLC Skilled Nursing Facility 14233 Alta Oaks Dr, Rockville, MD 20850-7413 2006-09-22
1861445876 Solomon Holdings I - The Triangle, LLC Skilled Nursing Facility 5550 Tuckerman Ln, Rockville, MD 20852-4683 2006-05-19
1013905579 The Village At Rockville, Inc. Skilled Nursing Facility 9701 Veirs Dr, Rockville, MD 20850-3462 2005-10-10
1447246483 Marsalle Center Associates Skilled Nursing Facility 204 Monroe St, Suite 201, Rockville, MD 20850-4425 2005-09-26
1932194610 Rockville Nursing Home, Inc. Skilled Nursing Facility 303 Adclare Rd, Rockville, MD 20850-3825 2005-09-19
1043217219 Shady Grove Adventist Nursing & Rehabilitation Center Inc Skilled Nursing Facility 9701 Medical Center Dr, Rockville, MD 20850-3326 2005-07-04
1275538852 Mlb Rockville Health Facilities, Inc Skilled Nursing Facility 768 N Us Highway 41, Rockville, IN 47872-7091 2005-06-20
1215930003 Collingswood Nursing Facilities Inc Skilled Nursing Facility 299 Hurley Ave, Rockville, MD 20850-3118 2005-05-24
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Competitor

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City ROCKVILLE
Zip Code 20850

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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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