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LP CAMBRIDGE LLC NPI 1114118494


NPI Information

NPI: 1114118494
Provider Name: LP CAMBRIDGE LLC

Doing Business As: SIGNATURE HEALTHCARE AT MALLARD BAY

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 21D0704734

Address:
520 GLENBURN AVE
CAMBRIDGE, MD
ZIP 21613
Phone: (410) 228-9191
Get Directions

LP CAMBRIDGE LLC is a skilled nursing facility in Cambridge, MD. The provider is (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. LP CAMBRIDGE LLC NPI is 1114118494. The provider is registered as an organization entity type.
The provider Is Doing Business As Signature Healthcare At Mallard Bay.

The provider's business location address is:

520 GLENBURN AVE
CAMBRIDGE, MD
ZIP 21613-415
Phone: (410) 228-9191
Fax: (410) 228-8350

The provider's authorized official is John Harrison .
The authorized official title is Cfo and has the following contact phone number (561) 627-0664.

The CLIA number assigned to this NPI record is 21D0704734 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 9/2/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility09-006MARYLANDYes

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: 5/5/2024

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