SPA CREEK CENTER
NPI 1083896559
Skilled Nursing Facility in Annapolis, MD

Active since November 27, 2007
35 MILKSHAKE LN, ANNAPOLIS, MD 21403(410) 269-5100(410) 269-5453 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spa Creek Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPA CREEK CENTER (NPI 1083896559) is a healthcare organization registered as a skilled nursing facility in Annapolis, Maryland and active in the NPI registry since November 2007. The organization lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1083896559
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name35 MILKSHAKE LANE OPERATIONS LLC
Location Address35 MILKSHAKE LNAnnapolis, MD 21403-1507
Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 925-4351
Fax(410) 269-5453
Organization SubpartNo
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateNovember 27, 2007
Last NPPES UpdateJanuary 8, 2016
NPI 1083896559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MD · 02-026
Definition

(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.

35 MILKSHAKE LN, Annapolis, MD 21403

Other Names 1

Doing Business AsSpa Creek Center

Other Identifiers 2

Medicaid413973900MD
Medicare OSCAR/certification215258MD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
35 MILKSHAKE LN
ANNAPOLIS, MD 21403
Physical Therapist
35 MILKSHAKE LN
ANNAPOLIS, MD 21403
Nurse Practitioner (Primary Care)
35 MILKSHAKE LN
ANNAPOLIS, MD 21403
Physical Therapist
35 MILKSHAKE LN
ANNAPOLIS, MD 21403
Occupational Therapy Assistant
35 MILKSHAKE LN
ANNAPOLIS, MD 21403
Physical Therapy Assistant
35 MILKSHAKE LN
ANNAPOLIS, MD 21403
Physical Therapy Assistant
35 MILKSHAKE LN
ANNAPOLIS, MD 21403
Occupational Therapist
35 MILKSHAKE LN
ANNAPOLIS, MD 21403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 35 Milkshake Lane Operations LLC's NPI number?

The NPI number for 35 Milkshake Lane Operations LLC is 1083896559. It was assigned to this organization in the NPPES registry on November 27, 2007. The provider is doing business as Spa Creek Center.

Where is 35 Milkshake Lane Operations LLC located?

35 Milkshake Lane Operations LLC is located at 35 Milkshake Ln, Annapolis, MD 21403. The listed phone number is (410) 269-5100.

What is 35 Milkshake Lane Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for 35 Milkshake Lane Operations LLC was last updated on January 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.