CROFTON CONVALESCENT CENTER, INC.
NPI 1093782468
Skilled Nursing Facility in Crofton, MD

Active since March 03, 2006
2131 DAVIDSONVILLE RD, CROFTON, MD 21114(410) 721-1000(410) 721-2749 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crofton Convalescent Center, Inc. NPPES

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

CROFTON CONVALESCENT CENTER, INC. (NPI 1093782468) is a healthcare organization registered as a skilled nursing facility in Crofton, Maryland and active in the NPI registry since March 2006. The organization lists Philip J Gordon, Nursing Home Administrator, as its authorized official.

NPPES Registry Identity

NPI1093782468
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCROFTON CONVALESCENT CENTER, INC.
Location Address2131 DAVIDSONVILLE RDCrofton, MD 21114-1632
Mailing Address2131 Davidsonville RdCrofton, MD 21114-1632 · (410) 721-1000 · Fax (410) 721-2749
Fax(410) 721-2749
Organization SubpartNo
Authorized OfficialPhilip J GordonNursing Home Administrator · (410) 721-1000
Enumeration DateMarch 3, 2006
Last NPPES UpdateAugust 14, 2012
NPI 1093782468 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 · 02-011
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.

2131 DAVIDSONVILLE RD, Crofton, MD 21114

Other Identifiers 2

Medicare ID-Type Unspecified21-5120MD · Medicare Provider #
Medicaid021797200MD

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.

Speech-Language Pathologist
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Occupational Therapist
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Occupational Therapist
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Occupational Therapist (Physical Rehabilitation)
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Speech-Language Pathologist
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Physical Therapist
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Physical Therapy Assistant
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Occupational Therapy Assistant
2131 DAVIDSONVILLE RD
CROFTON, MD 21114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093782468, enumerated as an "organization" on March 03, 2006.

The provider is located at 2131 DAVIDSONVILLE RD CROFTON, MD 21114 and the phone number is (410) 721-1000.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.