BEVERLY ENTERPRISES - MARYLAND, INC. (NPI# 1952358764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952358764 |
| Entity Type | Organization |
| Organization Name | BEVERLY ENTERPRISES - MARYLAND, INC. |
| Other Organization Name | GOLDEN LIVINGCENTER - HAGERSTOWN |
| Practice Address |
750 Dual Hwy Hagerstown MD 21740-5909 |
| Practice Telephone | 3017974020 |
| Mailing Telephone | 3017974020 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | HOLLY A RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY HEALTH AND REHABILITATION SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST | GW | 01 |
| MD | BLUECHOICE-GHMSI | RJ2 | 01 |
| MD | 750502700 | 05 | |
| MD | 217307700 | 05 | |
| MD | AETNA | 521619 | 01 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Hagerstown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831146950 | Beverly Enterprises - Maryland, Inc. | Skilled Nursing Facility | 512 Winifred Rd, Cumberland, MD 21502-6396 | 2006-05-27 |
| Street Address |
750 DUAL HWY |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659852754 | Allison Cannon | Occupational Therapist | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2018-08-27 |
| 1609300615 | Nimisha Nerurkar | Physical Therapist | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2017-04-17 |
| 1235660614 | Dual Leasing Co., LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2017-03-27 |
| 1285175778 | Dual Leasing Co., LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2017-03-16 |
| 1053866277 | Hagerstown Dual Care LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| 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 |
|---|---|---|---|---|
| 1902038672 | Colonial Senior Living of Western Pa LLC | Skilled Nursing Facility | 19713 Spring Creek Rd, Hagerstown, MD 21742-2534 | 2009-08-14 |
| 1164477089 | Avalon Home, Inc. | Skilled Nursing Facility | 14014 Marsh Pike, Hagerstown, MD 21742-1638 | 2006-05-23 |
| 1962453506 | Julia Manor LLC | Skilled Nursing Facility | 333 Mill St, Hagerstown, MD 21740-6473 | 2006-05-15 |
| 1861459430 | Diakon Lutheran Senior Living - Maryland LLC | Skilled Nursing Facility | 1183 Luther Dr, Hagerstown, MD 21740-7407 | 2006-04-27 |
| 1487174298 | Wye Oak Healthcare of Hagerstown, LLC | Skilled Nursing Facility | 14014 Marsh Pike, Hagerstown, MD 21742-1638 | 2017-06-22 |
| 1235660614 | Dual Leasing Co., LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2017-03-27 |
| 1285175778 | Dual Leasing Co., LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2017-03-16 |
| 1780139840 | Hagerstown Health Care LLC | Skilled Nursing Facility | 333 Mill St, Hagerstown, MD 21740-6473 | 2016-08-18 |
| 1053866277 | Hagerstown Dual Care LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2016-08-17 |
| 1811372063 | Julia Manor Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 333 Mill St, Hagerstown, MD 21740-6473 | 2015-07-29 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.