WICOMICO NURSING HOME (NPI# 1629013925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629013925 |
| Entity Type | Organization |
| Organization Name | WICOMICO NURSING HOME |
| Practice Address |
900 Booth St Salisbury MD 21801-3006 |
| Mailing Address |
Po Box 2378 Salisbury MD 21802-2378 |
| Practice Telephone | 4107428896 |
| Practice Fax Number | 4107424987 |
| Mailing Telephone | 4107428896 |
| Mailing Fax Number | 4107424987 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARY E SCHWARTZ (ADMINISTRATOR) |
| Authorized Official Telephone | 4107428896 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 22006 | MD | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 22006 | MD | Nursing & Custodial Care Facilities |
| Street Address |
900 BOOTH ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316340771 | Jessica Garcia | Occupational Therapy Assistant | 900 Booth St, Salisbury, MD 21801-3006 | 2014-09-30 |
| 1801917588 | Lorraine Heidrich | Speech-Language Pathologist | 900 Booth St, Salisbury, MD 21801-3006 | 2007-04-02 |
| 1306965850 | Mary Arrowood Franz | Occupational Therapist | 900 Booth St, Salisbury, MD 21801-3006 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295856151 | Ssc Salisbury Operating Company LLC | Nursing Facility/Intermediate Care Facility | 635 Statesville Blvd, Salisbury, NC 28144-2201 | 2007-04-02 |
| 1871548487 | Oak Health Care Investors of Salisbury, Inc | Nursing Facility/Intermediate Care Facility | 215 Lash Dr, Salisbury, NC 28147-9151 | 2006-05-23 |
| 1487648614 | Church Homes, Inc. Congregational | Nursing Facility/Intermediate Care Facility | 17 Cobble Rd, Salisbury, CT 06068-1501 | 2005-09-02 |
| 1538312566 | G.i.t., Inc. | Nursing Facility/Intermediate Care Facility | 610 W Fisher St, Salisbury, NC 28144-4116 | 2008-11-04 |
| 1184895435 | Autumn Corporation | Nursing Facility/Intermediate Care Facility | 1505 Bringle Ferry Rd, Salisbury, NC 28146-4776 | 2008-03-14 |
| 1972790558 | Lutheran Home At Trinity Oaks | Nursing Facility/Intermediate Care Facility | 820 Klumac Rd, Salisbury, NC 28144-5722 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003386780 | Post-acute Care Center Opco LLC | Nursing Facility/Intermediate Care Facility | 5009 Frankford Avenue, Baltimore, MD 21206-5353 | 2018-11-26 |
| 1215301973 | Premier Therapy Services | Nursing Facility/Intermediate Care Facility | 3203 University Blvd W Apt 22, Kensington, MD 20895-1817 | 2015-11-18 |
| 1114356516 | Metero Cars | Nursing Facility/Intermediate Care Facility | 7611 Riverdale Rd Apt 302, New Carrollton, MD 20784-3750 | 2013-11-06 |
| 1275882318 | Unique Qualities, LLC | Nursing Facility/Intermediate Care Facility | 7514 Martha St, District Heights, MD 20747-3621 | 2012-09-05 |
| 1598973448 | Linda L Powe | Nursing Facility/Intermediate Care Facility | 200 S Rock Glen Rd, Baltimore, MD 21229-3249 | 2007-05-21 |
| 1154449049 | Rainbow Adhc | Nursing Facility/Intermediate Care Facility | 8400 Helgerman Ct, Gaithersburg, MD 20877-4131 | 2007-03-27 |
| 1033264973 | The Grand Lodge of Ancient Free and Accepted Masons of Maryland | Nursing Facility/Intermediate Care Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2007-01-23 |
| 1639186695 | Coffman Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3198 | 2006-08-02 |
| 1245286368 | Villa Rosa Nursing Home | Nursing Facility/Intermediate Care Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2006-05-26 |
| 1013960970 | One Price Drive Operations LLC | Nursing Facility/Intermediate Care Facility | 1 Price Dr, Elkton, MD 21921-6731 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
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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.