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WINTER GROWTH INC NPI 1750505871


NPI Information

NPI: 1750505871
Provider Name: WINTER GROWTH INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 21D0915387

Address:
5460 RUTH KEETON WAY
COLUMBIA, MD
ZIP 21044
Phone: (410) 964-9616
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WINTER GROWTH INC is an adult day care clinic center in Columbia, MD. WINTER GROWTH INC NPI is 1750505871. The provider is registered as an organization entity type.

The provider's business location address is:

5460 RUTH KEETON WAY
COLUMBIA, MD
ZIP 21044-945
Phone: (410) 964-9616
Fax: (410) 992-1487

The provider's authorized official is Cynthia Rogers .
The authorized official title is Executive Director and has the following contact phone number (301) 774-7501.

The CLIA number assigned to this NPI record is 21D0915387 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 2/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceMARYLANDNo
2310400000XAssisted Living FacilityNo
3261QA0600XClinic/CenterAdult Day CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1473113100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.