BERLIN HEALTH CARE LLC (NPI# 1861947913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861947913 |
| Entity Type | Organization |
| Organization Name | BERLIN HEALTH CARE LLC |
| Other Organization Name | BERLIN NURSING AND REHABILITATION CENTER |
| Practice Address |
9715 Healthway Dr Berlin MD 21811-3500 |
| Practice Telephone | 4106414400 |
| Practice Fax Number | 4106410011 |
| Mailing Telephone | 4106414400 |
| Mailing Fax Number | 4106410011 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | ROBERT LANZA (PRESIDENT) |
| Authorized Official Telephone | 4106414400 |
| 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 | 900035600 | 05 |
| Other Name | Type Code |
|---|---|
| Berlin Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508399940 | Berlin Health Care LLC | Physical Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2017-04-04 |
| Street Address |
9715 HEALTHWAY DR |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275503997 | Jeffrey Kent Zibell | Internal Medicine | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2006-01-25 |
| 1104472729 | Lee Anne Krystle Rico Chan | Occupational Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2019-08-11 |
| 1063909398 | John A Hancock | Nurse Practitioner | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2018-04-23 |
| 1508399940 | Berlin Health Care LLC | Physical Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2017-04-04 |
| 1659826816 | Laura Elizabeth Emerson | Speech-Language Pathologist | 9715 Healthway Dr, Berlin, MD 21811 | 2016-08-17 |
| 1205288651 | Mia Catherine Darbenzio | Specialist/Technologist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2016-07-11 |
| 1699191676 | Karen Vito | Physical Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-13 |
| 1033535232 | Karen J Holmes | Occupational Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-12 |
| 1093131658 | Aimee Barnes | Physical Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-06 |
| 1063837797 | Jessica Spencer | Physical Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| 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 |
|---|---|---|---|---|
| 1023154929 | Thedacare Medical Center - Berlin, Inc. | Skilled Nursing Facility | 482 Oak St, Berlin, WI 54923-1204 | 2007-01-29 |
| 1326027830 | St Vincent Rehabilitation & Nursing Center | Skilled Nursing Facility | 29 Providence Ave, Berlin, NH 03570-3130 | 2006-01-12 |
| 1578555140 | Virtua Health & Rehabilitation Center At Berlin, Inc. | Skilled Nursing Facility | 100 Long A Coming Ln, Berlin, NJ 08009-1964 | 2005-08-18 |
| 1972506954 | Somerset Care Inc. | Skilled Nursing Facility | 1404 Hay St, Berlin, PA 15530-1455 | 2005-05-24 |
| 1598103475 | Moriah Leigh Zybura | Skilled Nursing Facility | 1404 Hay St, Berlin, PA 15530-1455 | 2013-06-12 |
| 1578697876 | Bethany Suzanne D'antonio | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2007-03-16 |
| 1215023759 | Central Vermont Medical Center Inc | Skilled Nursing Facility | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2006-10-04 |
| 1457390775 | Mid-atlantic Long Term Care, LLC | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2006-06-05 |
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| 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 |
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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.