BALTIMORE VA REHAB AND EXTENDED CARE CENTER (NPI# 1407801988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407801988 |
| Entity Type | Organization |
| Organization Name | BALTIMORE VA REHAB AND EXTENDED CARE CENTER |
| Practice Address |
3900 Loch Raven Blvd Baltimore MD 21218-2108 |
| Practice Telephone | 4106057000 |
| Mailing Telephone | 4106057000 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | XIANGRONG SHAO (ATTENDING PHYSICIAN) |
| Authorized Official Telephone | 4106057000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | D56508 | MD | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BS7766403 | 01 | |
| MD | CDS | M53029 | 01 |
| Street Address |
3900 LOCH RAVEN BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192780 | Sheena Strudwick | Nurse Practitioner | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2005-05-24 |
| 1952908022 | Samantha Yeager | Occupational Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-10-02 |
| 1518574623 | Tehilla Sklare | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-09-23 |
| 1457961369 | Katrina Rogers | Dietitian, Registered | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-08-05 |
| 1285289553 | Marian Laniyan | Nurse Practitioner | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2019-08-05 |
| 1467944157 | Autumn Harper Cohen | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2018-05-30 |
| 1184128639 | Saiah Yates | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2018-03-20 |
| 1205290608 | Courtney Allen | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2016-04-12 |
| 1609232263 | Keyana A Robinson | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2016-01-12 |
| 1538535786 | April Vesely | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639475809 | Loch Raven Clc | Rehabilitation Unit | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2011-02-04 |
| 1811084718 | The Good Samaritan Hospital of Maryland, Inc | Rehabilitation Unit | 5601 Loch Raven Blvd, Baltimore, MD 21239 | 2006-10-10 |
| 1972523108 | Greater Baltimore Medical Center, Inc. | Rehabilitation Unit | 6701 N Charles St, Sub Acute Unit 54, Baltimore, MD 21204-6808 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376879312 | Steven A. Rosenberg | Rehabilitation Unit | 10104 Iron Gate Rd, Potomac, MD 20854-4728 | 2009-10-27 |
| 1578697629 | Upper Chesapeake Health Rehabilitation Services, LLC | Rehabilitation Unit | 615 W Macphail Rd Ste 210, Bel Air, MD 21014-4469 | 2007-03-14 |
| 1942863097 | Community Health Education and Research Corporation | Rehabilitation Unit | 8101 Sandy Spring Rd, Ste 300e6, 300w31, Laurel, MD 20707-3596 | 2019-04-15 |
| 1467923391 | Collingswood Operator LLC | Rehabilitation Unit | 299 Hurley Ave, Rockville, MD 20850-3118 | 2018-12-17 |
| 1366911802 | Winners' Choice Healthcare Services, LLC | Rehabilitation Unit | 28 N Philadelphia Blvd, Aberdeen, MD 21001-2511 | 2018-11-14 |
| 1013400258 | Meadow Park Operator LLC | Rehabilitation Unit | 1525 N Rolling Rd, Catonsville, MD 21228-1100 | 2018-06-12 |
| 1295228435 | Orchard Hill Operator LLC | Rehabilitation Unit | 111 West Rd, Towson, MD 21204-2315 | 2018-06-12 |
| 1245695345 | Ramani Nokku Md PC | Rehabilitation Unit | 612 Oak Knoll Ter, Rockville, MD 20850-7805 | 2015-12-16 |
| 1104160662 | Sundance Rehabilitation | Rehabilitation Unit | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-11-21 |
| 1891046934 | Rehabneeds | Rehabilitation Unit | 14411 Bubbling Spring Rd, Boyds, MD 20841-4304 | 2012-09-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BALTIMORE VA REHAB AND EXTENDED CARE CENTER.
| 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.