SPRING ARBOR CROFTON MD TENANT, LLC
NPI 1386394393
Assisted Living Facility in Crofton, MD
About Spring Arbor Crofton Md Tenant, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPRING ARBOR CROFTON MD TENANT, LLC (NPI 1386394393), doing business as Spring Arbor Of Crofton, is a healthcare organization registered as an assisted living facility in Crofton, Maryland and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Kevin R Maddron, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2167890
Spring Arbor Of Crofton · Crofton, MDFrequently 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 Spring Arbor Crofton MD Tenant, LLC's NPI number?
The NPI number for Spring Arbor Crofton MD Tenant, LLC is 1386394393. It was assigned to this organization in the NPPES registry on March 24, 2022. The provider is doing business as Spring Arbor of Crofton.
Where is Spring Arbor Crofton MD Tenant, LLC located?
Spring Arbor Crofton MD Tenant, LLC is located at 1495 Riedel Rd, Crofton, MD 21114. The listed phone number is (410) 451-1140.
What is Spring Arbor Crofton MD Tenant, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Spring Arbor Crofton MD Tenant, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2167890) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Spring Arbor Crofton MD Tenant, LLC was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Spring Arbor Crofton Md Tenant, Llc · NPI 1386394393
Assisted Living Facility organization in Crofton, Maryland. Organization record, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1386394393 (Entity type: Organization)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Spring Arbor of Crofton (Doing Business As)
- **Organization subpart:** Yes (part of Spring Arbor Master Tenant, Llc)
- **Authorized official:** Kevin Maddron, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1495 RIEDEL RD, Crofton, MD 21114-1603
- **Phone:** (410) 451-1140
## Record status
- **NPPES last updated:** April 20, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386394393) · Data from the CMS NPPES public registry.