1598740821 NPI number — LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC

Table of content: (NPI 1598740821)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598740821 NPI number — LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598740821
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2434 W BELVEDERE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21215-5202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-601-2935
Provider Business Mailing Address Fax Number:
410-601-2925

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2434 W BELVEDERE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21215-5202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-601-2935
Provider Business Practice Location Address Fax Number:
410-601-2925
Provider Enumeration Date:
12/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HENDIRX
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
410-601-2400

Provider Taxonomy Codes

  • Taxonomy code: 281P00000X , with the licence number:  30-088 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 282E00000X , with the licence number: 30088 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000805200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: NS1 . This is a "FEDERAL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 573502-01 . This is a "CAREFIRST HOSP NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 5070160001 . This is a "DMERC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 590027-01 . This is a "CAREFIRST SNF PROVIDER NU" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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