PATAPSCO VALLEY CENTER
NPI 1215234182
Skilled Nursing Facility in Randallstown, MD

Active since February 11, 2011
9109 LIBERTY RD, RANDALLSTOWN, MD 21133(410) 655-7373(410) 655-0579 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patapsco Valley Center NPPES

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

PATAPSCO VALLEY CENTER (NPI 1215234182) is a healthcare organization registered as a skilled nursing facility in Randallstown, Maryland and active in the NPI registry since February 2011. The organization lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1215234182
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name9109 LIBERTY ROAD OPERATIONS LLC
Location Address9109 LIBERTY RDRandallstown, MD 21133-3521
Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 347-4099
Fax(410) 655-0579
Organization SubpartNo
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateFebruary 11, 2011
Last NPPES UpdateJanuary 8, 2016
NPI 1215234182 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 · 03031
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.
9109 LIBERTY RD, Randallstown, MD 21133

Other Names 1

Doing Business AsPatapsco Valley Center

Other Identifiers 2

Medicare OSCAR/certification215084MD
Medicaid420460300MD

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9109 LIBERTY RD
RANDALLSTOWN, MD 21133
Occupational Therapist
9109 LIBERTY RD
RANDALLSTOWN, MD 21133
Nurse Practitioner (Psychiatric/Mental Health)
9109 LIBERTY RD
RANDALLSTOWN, MD 21133
Physical Therapist
9109 LIBERTY RD, PATAPSCO VALLEY CENTER
BALTIMORE, MD 21133
Nurse Practitioner (Psychiatric/Mental Health)
9109 LIBERTY RD
RANDALLSTOWN, MD 21133
Skilled Nursing Facility
9109 LIBERTY RD
RANDALLSTOWN, MD 21133
Physical Therapist
9109 LIBERTY RD
RANDALLSTOWN, MD 21133
Physical Therapist
9109 LIBERTY RD
RANDALLSTOWN, MD 21133

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 9109 Liberty Road Operations LLC's NPI number?

The NPI number for 9109 Liberty Road Operations LLC is 1215234182. It was assigned to this organization in the NPPES registry on February 11, 2011. The provider is doing business as Patapsco Valley Center.

Where is 9109 Liberty Road Operations LLC located?

9109 Liberty Road Operations LLC is located at 9109 Liberty Rd, Randallstown, MD 21133. The listed phone number is (410) 655-7373.

What is 9109 Liberty Road 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 9109 Liberty Road Operations LLC was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.