CARROLL LUTHERAN VILLAGE INC (NPI# 1437162526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437162526 |
| Entity Type | Organization |
| Organization Name | CARROLL LUTHERAN VILLAGE INC |
| Practice Address |
300 Saint Luke Cir Westminster MD 21158-4174 |
| Practice Telephone | 4108480090 |
| Practice Fax Number | 4108488133 |
| Mailing Telephone | 4108480090 |
| Mailing Fax Number | 4108488133 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | MR. GEARY MILLIKEN (CEO / PRESIDENT) |
| Authorized Official Telephone | 4108480090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 06-012 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | FEDERAL BLUE CROSS | MP7 | 01 |
| MD | 063417400 | 05 | |
| MD | CAREFIRST | 57596102 | 01 |
| Street Address |
300 SAINT LUKE CIR |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21158-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659697936 | Dana Marie Dukehart | Occupational Therapist | 300 Saint Luke Cir, Westminster, MD 21158-4174 | 2010-04-13 |
| 1265668347 | Kharia Jenai Holmes | Internal Medicine | 300 Saint Luke Cir, Westminster, MD 21158-4174 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271486 | Dominique Dockins | Student in an Organized Health Care Education/Training Program | 475 Summit View Drive, Westminster, MD 21158 | 2019-12-06 |
| 1851676738 | Lana Manning | Pharmacist | 500 Meadow Creek Drive, Westminster, MD 21158 | 2011-10-11 |
| 1558699223 | Lauren Dawson Agro | Doula | 727 Mulligan Lane, Westminster, MD 21158 | 2009-11-18 |
| 1083686448 | Marjorie Simpson | Nurse Practitioner | Po Box 973, Westminster, MD 21158-0973 | 2006-02-01 |
| 1063850428 | Megan Mcauliffe | Registered Nurse | 689 Lake Dr, Westminster, MD 21158-1444 | 2013-06-07 |
| 1699326231 | A.w. Holdings of Maryland, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4598 Old Hanover Rd, Westminster, MD 21158-1600 | 2019-09-25 |
| 1164775375 | Belinda Carol Finn | Contractor | 200 Kirkhoff Rd, Westminster, MD 21158-1613 | 2012-10-25 |
| 1841659505 | Ashley Tote | Doula | 3819 Bixler Church Rd, Westminster, MD 21158-2309 | 2016-02-23 |
| 1548555121 | Sara Ann Dooley | Speech-Language Pathologist | 3000 Langdon Dr, Westminster, MD 21158-2503 | 2011-06-13 |
| 1427529882 | Hillary Sizemore | Speech-Language Pathologist | 3000 Langdon Dr, Westminster, MD 21158-2503 | 2018-12-11 |
| Find all providers in zip 21158 | ||||
| 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 |
|---|---|---|---|---|
| 1619356029 | Center At Northridge, LLC | Skilled Nursing Facility | 12285 Pecos Drive, Westminster, CO 80234-5603 | 2015-05-19 |
| 1508956434 | Helping Hands Sanctuary of Idaho, Inc. | Skilled Nursing Facility | 240 Hospital Circle, Westminster, CA 92683-3953 | 2006-10-13 |
| 1700987922 | Extended Care Hospital of Westminster | Skilled Nursing Facility | 206 Hospital Circle, Westminster, CA 92683 | 2006-09-26 |
| 1700981644 | Covenant Living of Colorado | Skilled Nursing Facility | 9221 Wadsworth Pkwy, Westminster, CO 80021-4598 | 2006-09-14 |
| 1821045949 | Beverly Enterprises - Maryland Inc | Skilled Nursing Facility | 1234 Washington Rd, Westminster, MD 21157-5854 | 2006-05-27 |
| 1164495156 | Stanley Healthcare Center Operating Company, LLC | Skilled Nursing Facility | 14102 Springdale St, Westminster, CA 92683-3538 | 2006-02-09 |
| 1396732319 | Helping Hands Sanctuary of Idaho, Inc. | Skilled Nursing Facility | 240 Hospital Cir, Westminster, CA 92683-3953 | 2005-10-04 |
| 1538160445 | Clear Creek Centers, Inc. | Skilled Nursing Facility | 7481 Knox Pl, Westminster, CO 80030-4818 | 2005-08-02 |
| 1245852664 | Center At Lowry, LLC | Skilled Nursing Facility | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2020-05-07 |
| 1376075630 | Washington (west) Leasing Co., LLC | Skilled Nursing Facility | 1234 Washington Rd, Westminster, MD 21157-5854 | 2017-03-28 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21158 |
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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.