CALVERT MANOR HEALTHCARE CENTER, LLC (NPI# 1558774398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558774398 |
| Entity Type | Organization |
| Organization Name | CALVERT MANOR HEALTHCARE CENTER, LLC |
| Practice Address |
1881 Telegraph Rd Rising Sun MD 21911-2018 |
| Practice Telephone | 4106586555 |
| Practice Fax Number | 4106589717 |
| Mailing Telephone | 4106586555 |
| Mailing Fax Number | 4106589717 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | MR. ROBERT G OWENS (CEO) |
| Authorized Official Telephone | 4107298406 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALVERT MANOR HEALTHCARE CENTER, LLC | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 |
| Street Address |
1881 TELEGRAPH RD |
| City | RISING SUN |
| State | MD |
| Zip Code | 21911-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142702 | Calvert Manor Healthcare Center, Inc. | Assisted Living Facility | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2005-05-31 |
| 1649828922 | Axis Health At Calvert Opco LLC | Skilled Nursing Facility | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2019-08-29 |
| 1184037368 | Brittany Drake | Speech-Language Pathologist | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2014-06-05 |
| 1932443447 | Teresa Smithers | Physical Therapy Assistant | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2012-11-21 |
| 1386988897 | Tara Testerman | Physical Therapy Assistant | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2012-11-21 |
| 1689918195 | Tiffany Royer | Occupational Therapy Assistant | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2012-11-21 |
| 1083958979 | Michelle Kristen Nimmo | Speech-Language Pathologist | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2012-11-16 |
| 1386988178 | Richard J Chesney | Occupational Therapist | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2012-11-16 |
| 1174752471 | Rachel Fullam | Contractor | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2009-07-08 |
| 1194953729 | Frederick Earl Jenkins IIi | Physical Therapist | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2009-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639384373 | Charles Lawrence Brandenburg Jr. | Dentist | 408 Pearl St, Rising Sun, MD 21911 | 2007-05-14 |
| 1952490849 | Daniel L Rosman | Physical Therapist | 223 E. Main Street, Suite B, Rising Sun, MD 21911 | 2006-10-11 |
| 1609960145 | Jodi Lenoir French | Clinical Neuropsychologist | Chesapeake Behavioral Health, 221-c East Main Street, Rising Sun, MD 21911 | 2006-10-02 |
| 1669494753 | Dominick Joseph Guessford | Physical Therapy Assistant | 223 East Main St, Suite B, Rising Sun, MD 21911 | 2006-07-24 |
| 1376575373 | Giant Food Stores, LLC | Pharmacy | 24 Rising Sun Towne Center, Rising Sun, MD 21911 | 2006-07-07 |
| 1992748636 | Thomas J Connelly Jr | Pharmacy | 1 North Queen Street, Rising Sun, MD 21911 | 2006-06-13 |
| 1528517653 | Dakotah Catherine Greif | Physical Therapist | 52 Rising Sun Town Ctr, Rising Sun, MD 21911 | 2016-09-30 |
| 1306093570 | Jennifer Diane Slaybaugh | Physical Therapy Assistant | 1/2 Louise Court, Rising Sun, MD 21911-0113 | 2008-08-19 |
| 1982814661 | Shawn Carroll Brennan | Dentist | 9 South Queen Street, Rising Sun, MD 21911-0504 | 2007-05-23 |
| 1033583943 | Steven Brent Andrus | Counselor | 125 Algonquin Dr, Rising Sun, MD 21911-1315 | 2015-11-17 |
| Find all providers in zip 21911 | ||||
| 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 |
|---|---|---|---|---|
| 1164847505 | Genesis | Skilled Nursing Facility | 31 W Cherry St, Box 875, Rising Sun, MD 21911-1781 | 2014-02-21 |
| 1386683753 | Major Hospital | Skilled Nursing Facility | 405 Rio Vista Ln, Rising Sun, IN 47040-9497 | 2006-06-04 |
| 1649828922 | Axis Health At Calvert Opco LLC | Skilled Nursing Facility | 1881 Telegraph Rd, Rising Sun, MD 21911-2018 | 2019-08-29 |
| 1477766624 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 405 Rio Vista Ln, Rising Sun, IN 47040-9497 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073623 | Home Care Solutions LLC | Skilled Nursing Facility | 620 Sanders Ln, Oakland, MD 21550-7773 | 2019-03-20 |
| 1972016905 | Prince Georges Post Acute LLC | Skilled Nursing Facility | 1051 Brightseat Road, Landover, MD 20785 | 2017-11-13 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1518493774 | Bea's Hive Assisted Living | Skilled Nursing Facility | 3014 Nightside Drive, Upper Marlboro, MD 20774 | 2017-05-10 |
| 1417490277 | Grace Compassionate Health Care | Skilled Nursing Facility | 113 River Forest Ln, Ft Washington, MD 20744-6240 | 2016-11-28 |
| 1447705967 | Sarah Lorraine Bensinger | Skilled Nursing Facility | 9 N Summit Dr Apt 202, Gaithersburg, MD 20877-3056 | 2016-08-25 |
| 1578927489 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 North Point Rd, Baltimore, MD 21224-3307 | 2016-04-06 |
| 1578927588 | Pineview Extended Care Centre, Inc. | Skilled Nursing Facility | 9016 Pine View Lane, Clinton, MD 20735-3229 | 2016-04-06 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1881063154 | Supplemental Health | Skilled Nursing Facility | 1292 Limit Ave, Idlewylde, MD 21239-1747 | 2015-09-17 |
| Find all providers with the same taxonomy | ||||
| City | RISING SUN |
| Zip Code | 21911 |
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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.