LIBERTY RD RANDALLSTOWN MD OPCO LLC (NPI# 1427696376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427696376 |
| Entity Type | Organization |
| Organization Name | LIBERTY RD RANDALLSTOWN MD OPCO LLC |
| Other Organization Name | PATAPSCO HEALTH AND REHABILITATION |
| Practice Address |
9109 Liberty Rd Randallstown MD 21133-3521 |
| Mailing Address |
440 Sylvan Ave Ste 240 Englewood Cliffs NJ 07632-2700 |
| Practice Telephone | 4106557373 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | SAM STERN (CFO) |
| Authorized Official Telephone | 8775670402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Patapsco Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
9109 LIBERTY RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278510 | Cheryl Goddard | Nurse Practitioner | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2006-03-09 |
| 1811595093 | Kelsey Johnson | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2020-10-11 |
| 1285281766 | Kimberly Whelan | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-08-20 |
| 1912567363 | Brenda Williams-whitehead | Registered Nurse | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-06-18 |
| 1639633977 | Garrett Michael Torchiani | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-01-30 |
| 1912493545 | Ebone Leach | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2018-07-06 |
| 1538651344 | Bhumi Patel | Physical Therapist | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2018-06-06 |
| 1902309883 | Caleb Mitzel | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133 | 2018-03-16 |
| 1306358148 | Monal Atulkumar Graham | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2017-11-02 |
| 1942730064 | Elizabeth Holland Green | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2017-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| 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 |
|---|---|---|---|---|
| 1235179193 | Robosson Court Medical Investors | Skilled Nursing Facility | 4511 Robosson Rd, Randallstown, MD 21133-1018 | 2006-06-08 |
| 1487658183 | Future Care Old Court, Inc. | Skilled Nursing Facility | 5412 Old Court Rd, Randallstown, MD 21133-5104 | 2005-06-09 |
| 1750831376 | Randallstown Health Care LLC | Skilled Nursing Facility | 4511 Robosson Rd, Randallstown, MD 21133-1018 | 2016-10-06 |
| 1922454891 | Fcoc LLC | Skilled Nursing Facility | 5412 Old Court Rd, Randallstown, MD 21133-5104 | 2016-05-10 |
| 1093179905 | Future Care Old Court, Inc. | Skilled Nursing Facility | 5412 Old Court Rd, Randallstown, MD 21133-5104 | 2016-04-06 |
| 1215234182 | 9109 Liberty Road Operations LLC | Skilled Nursing Facility | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2011-02-11 |
| 1992963367 | Mid-atlantic of Chapel Hill LLC | Skilled Nursing Facility | 4511 Robosson Rd, Randallstown, MD 21133-1018 | 2008-06-02 |
| 1891843686 | Northwest Hospital Center, Inc. | Skilled Nursing Facility | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2007-01-08 |
| 1811932742 | Randallstown Center, LLC | Skilled Nursing Facility | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2006-06-17 |
| 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 | RANDALLSTOWN |
| Zip Code | 21133 |
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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.