GLADE VALLEY NURSING & REHABILITATION CENTER INC (NPI# 1861499030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861499030 |
| Entity Type | Organization |
| Organization Name | GLADE VALLEY NURSING & REHABILITATION CENTER INC |
| Other Organization Name | GLADE VALLEY NURSING AND REHAB CENTER |
| Practice Address |
56 W Frederick St Walkersville MD 21793-8254 |
| Practice Telephone | 3018984304 |
| Practice Fax Number | 3018984343 |
| Mailing Telephone | 3018984304 |
| Mailing Fax Number | 3018984343 |
| Enumeration Date | 2005-07-04 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | RICHARD A MARIZAN (DIRECTOR, CENTRAL BUSINESS OFFICE) |
| Authorized Official Telephone | 3013153272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 951000100 | 05 | |
| MD | 430910300 | 05 |
| Other Name | Type Code |
|---|---|
| GLADE VALLEY NURSING AND REHAB CENTER | Doing Business As Name - Organization |
| Street Address |
56 W FREDERICK ST |
| City | WALKERSVILLE |
| State | MD |
| Zip Code | 21793-8254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735103 | Kimberly Brauning | Occupational Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2020-09-16 |
| 1255955258 | Shraddha Mistry | Physical Therapist | 56 W Frederick St, Walkersville, MD 21793-8254 | 2020-06-04 |
| 1235694332 | Julia Marie Roberson | Physical Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2019-02-04 |
| 1952807604 | Alexandra Christine Merritt | Physical Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2018-04-02 |
| 1023548518 | Jenna Lee Klahre | Physical Therapist | 56 W Frederick St, Walkersville, MD 21793-8254 | 2017-06-15 |
| 1497207500 | Elizabeth Guttman | Occupational Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2016-10-25 |
| 1407203565 | Lisa Naugle | Occupational Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2016-05-18 |
| 1407200884 | 56 West Frederick Street Operations LLC | Occupational Therapist | 56 W Frederick St, Walkersville, MD 21793-8254 | 2016-04-21 |
| 1205296944 | Alyssa Liverette | Physical Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2016-02-23 |
| 1588062095 | Valerie Turner | Physical Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2014-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861012395 | Thrive Physical Therapy and Wellness LLC | Physical Therapist | 209 Solar Drivce, Walkersville, MD 21793 | 2020-04-24 |
| 1356645030 | Jaimee Suzanne Nichols Hammerman | Speech-Language Pathologist | 2814-b Wildwood Ct., Walkersville, MD 21793 | 2011-01-10 |
| 1063740769 | Kathleen Meghan Hockman | Occupational Therapist | 56 West Frederick Street, Walkersville, MD 21793 | 2009-11-18 |
| 1134397722 | Frederick Sport & Spine Clinic | Physical Therapist | 19 West Frederick Street, Walkersville, MD 21793 | 2008-02-15 |
| 1194906602 | Maureen P Degrange | Nurse Practitioner | 19 W. Frederick Street, Walkersville, MD 21793 | 2007-11-27 |
| 1518177153 | Ramez Saba | Dentist | 31 E Frederick St, Walkersville, MD 21793 | 2007-05-23 |
| 1871669598 | Christine Houle Aloi | Dentist | 8429 Woodsboro Pike, Walkersville, MD 21793 | 2006-11-27 |
| 1689686255 | Amy Marie Killeen | Dentist | 29a West Pennsylvania Avenue, Walkersville, MD 21793 | 2006-08-12 |
| 1861846917 | Susan Ann Donnelly | Occupational Therapy Assistant | 56 West Frederick Street, Walkersville, MD 21793 | 2016-04-14 |
| 1922430131 | William Charles Noonan | Pharmacist | 202 Tylerton Ct, Walkersville, MD 21793-6006 | 2013-07-30 |
| Find all providers in zip 21793 | ||||
| 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 |
|---|---|---|---|---|
| 1275841322 | 56 West Frederick Street Operations LLC | Skilled Nursing Facility | 56 W Frederick St, Walkersville, MD 21793-8254 | 2010-09-22 |
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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 | WALKERSVILLE |
| Zip Code | 21793 |
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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.