24 TRUCKHOUSE ROAD OPERATIONS LLC (NPI# 1710169289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710169289 |
| Entity Type | Organization |
| Organization Name | 24 TRUCKHOUSE ROAD OPERATIONS LLC |
| Other Organization Name | SEVERNA PARK CENTER |
| Practice Address |
310 Genesis Way Severna Park MD 21146-1762 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 4105444220 |
| Practice Fax Number | 4105444288 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2016-01-08 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 02-019 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 413972100 | 05 |
| Other Name | Type Code |
|---|---|
| Severna Park Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174977540 | 24 Truckhouse Road Operations LLC | Occupational Therapist | 310 Genesis Way, Severna Park, MD 21146-1762 | 2016-04-21 |
| Street Address |
310 GENESIS WAY |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200222 | Emma Martinez | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2020-03-16 |
| 1811555303 | Candice Elizabeth Dailey | Speech-Language Pathologist | 310 Genesis Way, Severna Park, MD 21146-1762 | 2019-05-30 |
| 1417435702 | Valarie M Cook | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2018-07-30 |
| 1952888554 | Victoria Marie Arnold | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2018-07-26 |
| 1710479514 | Sarah Morrison | Speech-Language Pathologist | 310 Genesis Way, Severna Park, MD 21146-1762 | 2018-06-06 |
| 1861904856 | Tenesha Monique Askins | Physical Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-10-30 |
| 1376061556 | Paige Theresa Patti | Physical Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-09-07 |
| 1811419385 | Ma. Aleighne Jonco Antiqueno | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-07-17 |
| 1255861555 | Chelsea Lynn Coster | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-06-19 |
| 1689109928 | Bandana Bhusal | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| 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 |
|---|---|---|---|---|
| 1043616360 | Sandra Leni, Md, LLC | Skilled Nursing Facility | 645 Baltimore Annapolis Boulevard, Suite 213, Severna Park, MD 21146 | 2014-11-13 |
| 1710920053 | Meridian Health, Inc. | Skilled Nursing Facility | 24 Truck House Rd, Severna Park, MD 21146-2715 | 2006-06-14 |
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|---|---|---|---|---|
| 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 | SEVERNA PARK |
| Zip Code | 21146 |
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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.