Haven Nursing Home, Inc in Baltimore - Nursing Facility/intermediate Care Facility

Haven Nursing Home, Inc - NPI 1265436885

Haven Nursing Home, Inc is a Nursing Facility/intermediate Care Facility in Baltimore, Maryland. Haven Nursing Home, Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Haven Nursing Home, Inc is 1265436885. The last update date is 2009-01-02.

Haven Nursing Home, Inc's current location address is 3939 Penhurst Ave, Baltimore, Maryland. You can contact this provider via phone number 4106649535 and fax number 4106640806. The mailing address for Haven Nursing Home, Inc is 3939 Penhurst Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Haven Nursing Home, Inc
Address 3939 Penhurst Ave, Baltimore, Maryland
Phone Number 4106649535
Fax Number 4106640806
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Holsopple L Al
Credentials NHA
Telephone Number 4106649535

NPI Number Detail

NPI Number 1265436885
Provider Enumeration Date 2005-06-10
Last Updated Date 2009-01-02

Provider Mailing Address Detail

Address 3939 Penhurst Ave
City Baltimore
State Maryland (MD)
Post Code 2121556320
Phone Number 4106649535
Fax Number 4106640806

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No 30074
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
300687500 MD --

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FAQs about Haven Nursing Home, Inc

What is the unique 10-digit identifier code assigned to Haven Nursing Home, Inc by the Centers for Medicare & Medicaid Services?

The Haven Nursing Home, Inc has been issued the NPI (National Provider Identifier) 1265436885 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Haven Nursing Home, Inc is physically located?

The Haven Nursing Home, Inc is physically situated at the following address: 3939 Penhurst Ave, Baltimore, MD, 2121556320.

What is Haven Nursing Home, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Haven Nursing Home, Inc is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.

On what date did Haven Nursing Home, Inc receive its 1265436885 assignment from the Centers for Medicare & Medicaid Services?

The Haven Nursing Home, Inc was assigned its 1265436885 on 2005-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Haven Nursing Home, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Haven Nursing Home, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-02.

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