CITIZENS NURSING HOME BOARD OF HARFORD COUNTY (NPI# 1578566899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578566899 |
| Entity Type | Organization |
| Organization Name | CITIZENS NURSING HOME BOARD OF HARFORD COUNTY |
| Other Organization Name | CITIZENS CARE & REHABILITATION CENTER |
| Practice Address |
415 Market St Havre De Grace MD 21078-3301 |
| Practice Telephone | 4109395500 |
| Practice Fax Number | 4109393471 |
| Mailing Telephone | 4109395500 |
| Mailing Fax Number | 4109393471 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETER A PANOS (ADMINISTRATOR) |
| Authorized Official Telephone | 4109395500 |
| Authorized Official Credential | N.H.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 12003 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NSC | 0420390001 | 01 |
| Other Name | Type Code |
|---|---|
| CITIZENS CARE & REHABILITATION CENTER | Doing Business As Name - Organization |
| Street Address |
415 MARKET ST |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542808 | Elizabeth Schueller Wasson | Occupational Therapy Assistant | 415 Market St, Havre De Grace, MD 21078-3301 | 2019-05-05 |
| 1720226897 | April Lynn Ocampo | Physical Therapy Assistant | 415 Market St, Havre De Grace, MD 21078-3301 | 2009-01-28 |
| 1770733990 | Deanna Lynn Smith | Physical Therapist | 415 Market St, Havre De Grace, MD 21078-3301 | 2008-09-24 |
| 1316193790 | Allison Callender | Occupational Therapy Assistant | 415 Market St, Havre De Grace, MD 21078-3301 | 2008-08-17 |
| 1669635058 | David G. Hernandez | Speech-Language Pathologist | 415 Market St, Havre De Grace, MD 21078-3301 | 2008-07-07 |
| 1477734200 | Daniel David Staskel | Physical Therapy Assistant | 415 Market St, Havre De Grace, MD 21078-3301 | 2007-11-20 |
| 1326228685 | Theresa Otwell | Physical Therapy Assistant | 415 Market St, Havre De Grace, MD 21078-3301 | 2007-11-05 |
| 1407055510 | Krista Denise Wright | Physical Therapist | 415 Market St, Havre De Grace, MD 21078-3301 | 2007-07-18 |
| 1922200682 | Gerri Renee Kearns | Physical Therapy Assistant | 415 Market St, Havre De Grace, MD 21078-3301 | 2007-06-04 |
| 1982805826 | Jennifer Kathleen Mays | Occupational Therapist | 415 Market St, Havre De Grace, MD 21078-3301 | 2007-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| 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 |
|---|---|---|---|---|
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1760461198 | Transitional Care Unit@harford Memorial Hospital | Skilled Nursing Facility | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2006-01-13 |
| 1881691673 | Transitional Care Unit At Harford Memorial Hospital | Skilled Nursing Facility | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2005-07-07 |
| 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 |
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| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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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.