BROADMEAD, INC (NPI# 1609859107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609859107 |
| Entity Type | Organization |
| Organization Name | BROADMEAD, INC |
| Practice Address |
13801 York Rd Cockeysville MD 21030-1825 |
| Practice Telephone | 4435788000 |
| Practice Fax Number | 4435788194 |
| Mailing Telephone | 4435788000 |
| Mailing Fax Number | 4435788194 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | MRS. SHELLEY A HUBBERT (MEDICAL BILLING) |
| Authorized Official Telephone | 4435788073 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers | ||
| Y | 314000000X | Skilled Nursing Facility | 03-030 | MD | Nursing & Custodial Care Facilities |
| Street Address |
13801 YORK RD |
| City | COCKEYSVILLE |
| State | MD |
| Zip Code | 21030-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659921120 | Friends Care | In Home Supportive Care | 13801 York Rd, Cockeysville, MD 21030-1825 | 2019-09-17 |
| 1912496803 | David Joseph Ciotola | Physical Therapy Assistant | 13801 York Rd, Cockeysville, MD 21030-1825 | 2018-05-07 |
| 1588101414 | Elizabeth Sigrist Grogan | Physical Therapy Assistant | 13801 York Rd, Cockeysville, MD 21030-1825 | 2017-01-30 |
| 1699163857 | Larissa Perry | Physical Therapy Assistant | 13801 York Rd, Cockeysville, MD 21030-1825 | 2014-12-22 |
| 1174930044 | Nancy Swierk | Physical Therapist | 13801 York Rd, Rehabilitation Dept., Cockeysville, MD 21030-1825 | 2014-07-12 |
| 1417190505 | Ellen F Goldstone | Clinical Nurse Specialist | 13801 York Rd, Cockeysville, MD 21030-1825 | 2009-04-20 |
| 1104089721 | Elizabeth O'meara | Speech-Language Pathologist | 13801 York Rd, Cockeysville, MD 21030-1825 | 2008-07-03 |
| 1285767418 | Rebecca Ann Shive | Occupational Therapist | 13801 York Rd, Cockeysville, MD 21030-1825 | 2007-03-14 |
| 1801879390 | Broadmead Medical Services, Inc | Assisted Living Facility | 13801 York Rd, Cockeysville, MD 21030-1825 | 2005-11-29 |
| 1194714006 | Barbara J Carroll | Internal Medicine | 13801 York Rd, Out Patient Department, Cockeysville, MD 21030-1825 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450396 | Transcend Services Inc | Interpreter | 109-44 Beaver Dam Rd, Ste B, Hunt Valley, MD 21030 | 2019-10-30 |
| 1275015695 | Tiara Johnson | Behavior Technician | 201 International Circle, Hunt Valley, MD 21030 | 2018-09-01 |
| 1942795729 | Jackson's Nurse Practitioner Housecalls LLC | Family Medicine | 12 Kings Crossing Ct Apt L, Cockeysville, MD 21030 | 2018-06-25 |
| 1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
| 1871012278 | Jahnelle Danica Mclennan | Dentist | 5 Shawan Rd Ste 2, Hunt Valley, MD 21030 | 2017-09-17 |
| 1326423773 | Casey Ball | Case Management | 210 International Circle Suite 230, Hunt Valley, MD 21030 | 2015-07-28 |
| 1558705913 | Cortney J Johnstone | Occupational Therapist | 102 Lakefront Drive, Hunt Valley, MD 21030 | 2013-04-29 |
| 1104189257 | Hilary T Harrington | Counselor | 11311 Mccormick Road, 350, Hunt Valley, MD 21030 | 2012-06-22 |
| 1164715413 | Nichole Lea Edmond | Speech-Language Pathologist | 1508 Heather Hill Lane, Cockeysville, MD 21030 | 2011-05-19 |
| 1134440282 | Rabab Al-amin | Acupuncturist | 215 Wickersham Way, Cockeysville, MD 21030 | 2010-06-11 |
| Find all providers in zip 21030 | ||||
| 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. |
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|---|---|---|---|---|
| 1790327633 | The Grand Lodge of Ancient Free and Accepted Masons of Maryland | Skilled Nursing Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2019-10-11 |
| 1912424581 | Maryland Masonic Homes. Ltd | Skilled Nursing Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2017-08-24 |
| 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 | COCKEYSVILLE |
| Zip Code | 21030 |
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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.