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SPRING ARBOR CROFTON MD TENANT, LLC
NPI 1386394393
Assisted Living Facility in Crofton, MD

Active since March 24, 2022CLIA 21D2167890 · Waiver
1495 RIEDEL RD, CROFTON, MD 21114(410) 451-1140 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1386394393
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSPRING ARBOR CROFTON MD TENANT, LLC
Location Address1495 RIEDEL RDCrofton, MD 21114-1603
Mailing Address420 S Orange Ave Ste 400Orlando, FL 32801-4908 · (407) 540-7700
Phone(410) 451-1140
Organization SubpartYesParent: Spring Arbor Master Tenant, Llc
Authorized OfficialKevin R MaddronChief Financial Officer · (407) 540-7700
Enumeration DateMarch 24, 2022
Last NPPES UpdateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1386394393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1495 RIEDEL RD, Crofton, MD 21114
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Other Names 1

Doing Business AsSpring Arbor Of Crofton

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, MD
Active · expires Jun 17, 2027
CLIA Number21D2167890
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorGinger D. Martin
Laboratory Phone(410) 324-2790
Laboratory LocationSpring Arbor Of Crofton1495 Riedel Road, Crofton, MD 21114
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is SPRING ARBOR CROFTON MD TENANT, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1386394393, enumerated as an "organization" on March 24, 2022.

Where is the provider located?

The provider is located at 1495 RIEDEL RD CROFTON, MD 21114 and the phone number is (410) 451-1140.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.