CATON MANOR CENTER LLC (NPI# 1487600466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487600466 |
| Entity Type | Organization |
| Organization Name | CATON MANOR CENTER LLC |
| Other Organization Name | CATON MANOR |
| Practice Address |
3330 Wilkens Ave Baltimore MD 21229-4610 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 4105251544 |
| Practice Fax Number | 4105253146 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 30-008 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIGROUP | 08816 | 01 | |
| UNITED - EVERCARE | 71-00149 | 01 | |
| AETNA-HMO | 1076891 | 01 | |
| MD | 4080133100 | 05 | |
| CAREFIRST - PROV/INQ # | 02Y8 | 01 | |
| CAREFIRST - IND/PPO | RY3 | 01 | |
| CAREFIRST - BLUE CHOICE | RY3 | 01 |
| Other Name | Type Code |
|---|---|
| Caton Manor | Doing Business As Name - Organization |
| Street Address |
3330 WILKENS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659326411 | Juachi Mbah | Nurse Practitioner | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2006-05-23 |
| 1841809613 | Pedirite Medical Md LLC | General Practice | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2020-07-28 |
| 1881232734 | Wilkens Ave Baltimore Md Opco LLC | Respite Care | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2019-12-11 |
| 1316496532 | Rebecca Wilkins | Nurse Practitioner | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2016-09-29 |
| 1538617782 | Andrea Rodriguez | Student in an Organized Health Care Education/Training Program | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2016-09-16 |
| 1184073694 | Kara Smith | Speech-Language Pathologist | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2016-06-06 |
| 1538513163 | 3330 Wilkens Avenue Operations LLC | Occupational Therapist | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2016-04-20 |
| 1538521075 | Khadija Maski | Physical Therapy Assistant | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2016-03-23 |
| 1184096943 | Hannah Topus | Speech-Language Pathologist | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2015-10-20 |
| 1053782144 | Molly Grisham | Occupational Therapist | 3330 Wilkens Ave, Baltimore, MD 21229-4610 | 2015-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on CATON MANOR CENTER LLC.
| 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.