PATUXENT RIVER HEALTH AND REHABILITATION CENTER
NPI 1407977085
Skilled Nursing Facility in Laurel, MD

Active since April 02, 2007CLIA 21D0671593 · Waiver
14200 LAUREL PARK DR, LAUREL, MD 20707(410) 792-4717 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patuxent River Health And Rehabilitation Center NPPES

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

PATUXENT RIVER HEALTH AND REHABILITATION CENTER (NPI 1407977085) is a healthcare organization registered as a skilled nursing facility in Laurel, Maryland and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Kelle C Santoro, Sr Director Ar, as its authorized official.

NPPES Registry Identity

NPI1407977085
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSSC LAUREL OPERATING COMPANY LLC
Location Address14200 LAUREL PARK DRLaurel, MD 20707-5201
Mailing Address5300 W Sam Houston Pkwy N, Suite 100Houston, TX 77041-5161 · (832) 467-6000
Organization SubpartNo
Authorized OfficialKelle C SantoroSr Director Ar · (832) 467-5728
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
NPI 1407977085 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 · 16-028
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.
14200 LAUREL PARK DR, Laurel, MD 20707

Other Names 1

Doing Business AsPatuxent River Health And Rehabilitation Center

Other Identifiers 2

Medicaid4061608 00MD
Other407319300MD · Part B Only

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 21D0671593

Patuxent River Health & Rehab · Laurel, MD
Active · expires Aug 8, 2026
CLIA Number21D0671593
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorMitul Dave MD
Laboratory Phone(410) 792-4717
Laboratory LocationPatuxent River Health & Rehab14200 Laurel Park Drive, Laurel, MD 20707
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Physical Therapist (Geriatrics)
14200 LAUREL PARK DR
LAUREL, MD 20707
Internal Medicine (Pulmonary Disease)
14200 LAUREL PARK DR
LAUREL, MD 20707
Occupational Therapy Assistant
14200 LAUREL PARK DR
LAUREL, MD 20707
Physical Medicine & Rehabilitation (Pain Medicine)
14200 LAUREL PARK DR
LAUREL, MD 20707
Skilled Nursing Facility
14200 LAUREL PARK DR
LAUREL, MD 20707
Internal Medicine (Nephrology)
14200 LAUREL PARK DR
LAUREL, MD 20707
Speech-Language Pathologist
14200 LAUREL PARK DR
LAUREL, MD 20707
Physical Therapy Assistant
14200 LAUREL PARK DR
LAUREL, MD 20707

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 Ssc Laurel Operating Company LLC's NPI number?

The NPI number for Ssc Laurel Operating Company LLC is 1407977085. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Patuxent River Health And Rehabilitation Center.

Where is Ssc Laurel Operating Company LLC located?

Ssc Laurel Operating Company LLC is located at 14200 Laurel Park Dr, Laurel, MD 20707. The listed phone number is (410) 792-4717.

What is Ssc Laurel Operating Company LLC's specialty?

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

Does Ssc Laurel Operating Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0671593) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ssc Laurel Operating Company LLC was last updated on November 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.