LOCH RAVEN CENTER (MERIDIAN VALLEY VIEW LP) NPI 1023050333

Skilled Nursing Facility in Baltimore, MD

NPI 1023050333 Organization Skilled Nursing Facility CLIA Number 21D0874529 CLIA Certificate of Waiver

About LOCH RAVEN CENTER (MERIDIAN VALLEY VIEW LP)

Loch Raven Center (meridian Valley View Lp) is a provider established in Baltimore, Maryland specializing in skilled nursing facility. The NPI number of Loch Raven Center (meridian Valley View Lp) is 1023050333 and was assigned on June 2006. The practitioner's primary taxonomy code is 314000000X with license number 03-044 (MD). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Loch Raven Center. The authorized official of this NPI record is Jane Dropeskey (Corporate Manager)

The CLIA number of Loch Raven Center is 21D0874529 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Loch Raven Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1023050333

Provider NameLOCH RAVEN CENTER (MERIDIAN VALLEY VIEW LP)
Provider Location Address8720 EMGE RD BALTIMORE, MD 21234
Provider Mailing Address101 E STATE ST KENNETT SQUARE, PA 19348
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameLOCH RAVEN CENTER
Other Name TypeDoing Business As (3)
Enumeration Date06-12-2006
Last Update Date06-21-2018


Primary Taxonomy

Taxonomy Code314000000X
ClassificationSkilled Nursing Facility
TypeNursing & Custodial Care Facilities
License No.03-044
License StateMD
Taxonomy Description(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.

Business Address

LOCH RAVEN CENTER
8720 EMGE RD
BALTIMORE, MD
ZIP 21234
Phone: (410) 668-1961
Fax: (410) 882-3114

Get Directions


Mailing Address

LOCH RAVEN CENTER
101 E STATE ST
KENNETT SQUARE, PA
ZIP 19348
Phone: (610) 925-4436
Fax: (610) 925-4351



Authorized Official

Authorized Official Name JANE DROPESKEY
Authorized Official TitleCORPORATE MANAGER
Authorized Official Phone(610) 925-4231

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023050333 is:

CLIA Number21D0874529
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========OTHER (01)
0181363OTHER (01)
=========OTHER (01)
=========OTHER (01)
02AGOTHER (01)
=========OTHER (01)
=========OTHER (01)
08949OTHER (01)
245130OTHER (01)
71-00098OTHER (01)
=========OTHER (01)
=========OTHER (01)
=========OTHER (01)
MK8OTHER (01)
037307900MEDICAID (05)MD
=========OTHER (01)
=========OTHER (01)
MK8OTHER (01)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255459426 LISA B. OFFLEY
Individual
Speech-Language Pathologist8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1447467634 DENISE MARIE GRIFFIN COTA
Individual
Occupational Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1689884017 MICHELE QUIDORT
Individual
Occupational Therapist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1902066830MS. WENDY CLARE MARVEL-WILLIAMS M.S CRNP
Individual
Nurse Practitioner (Adult Health)8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1679801252GENESIS REHAB SERVICES
Organization
Skilled Nursing Facility8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1326370495 PANNEE LAOSURASOONTORN VOORHEES PT
Individual
Physical Therapist8720 EMGE RD
BALTIMORE, MD 21234
(410) 688-1961
1205111002MRS. LYDIAH NJOKI MUCHAI COTA
Individual
Occupational Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1992058622MR. MARK GILL
Individual
Physical Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1639584576 KATE BERES M.S.
Individual
Student in an Organized Health Care Education/Training Program8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1114396652 KIMBERLY NUNEZ OTR/L
Individual
Occupational Therapist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1972975308 LORIE BENNETT
Individual
Physical Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
10232905908720 EMGE ROAD OPERATIONS LLC
Organization
Skilled Nursing Facility8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1821534777HARI GNANASEKERAM, PC
Organization
Internal Medicine (Clinical Cardiac Electrophysiology)8720 EMGE RD
BALTIMORE, MD 21234
(732) 280-6000
13264927948720 EMGE ROAD OPERATIONS LLC
Organization
Physical Therapist8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1053839431 JEANNE ANNE SLIWKA
Individual
Occupational Therapy Assistant8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1710406343 GRETA EMGE
Individual
Speech-Language Pathologist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1770092777 VERNIER LOPEZ
Individual
Physical Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1619479268 SARAH ASHLEY WALCZAK
Individual
Physical Therapy Assistant8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1437274933 JANET ELSIE ARCONTI PT
Individual
Physical Therapist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1336627306 JESS AGA
Individual
Physical Therapy Assistant8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.