SOUTH RIVER HEALTH AND REHABILITATION CENTER
NPI 1467490003
Skilled Nursing Facility in Edgewater, MD

Active since June 04, 2006CLIA 21D0690580 · Waiver
144 WASHINGTON RD, EDGEWATER, MD 21037(410) 956-5000 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South River Health And Rehabilitation Center NPPES

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

SOUTH RIVER HEALTH AND REHABILITATION CENTER (NPI 1467490003) is a healthcare organization registered as a skilled nursing facility in Edgewater, Maryland and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Matthew Box, Evp, as its authorized official.

NPPES Registry Identity

NPI1467490003
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHI OF MARYLAND AT SOUTH RIVER LLC
Location Address144 WASHINGTON RDEdgewater, MD 21037-1412
Mailing Address930 Ridgebrook RdSparks, MD 21152-9390 · (410) 773-1000
Organization SubpartNo
Authorized OfficialMatthew BoxEvp · (410) 773-1000
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 21, 2007
NPI 1467490003 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 · 02-013
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.

144 WASHINGTON RD, Edgewater, MD 21037

Other Names 1

Doing Business AsSouth River Health And Rehabilitation Center

Other Identifiers 1

Medicare ID-Type Unspecified215297

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 21D0690580

South River Healthcare Center · Edgewater, MD
Active · expires Aug 31, 2026
CLIA Number21D0690580
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Jennifer L. Riedinger
Laboratory Phone(513) 530-1808
Laboratory LocationSouth River Healthcare Center144 Washington Rd, Edgewater, MD 21037
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Speech-Language Pathologist
144 WASHINGTON RD
EDGEWATER, MD 21037
Occupational Therapist
144 WASHINGTON RD
EDGEWATER, MD 21037
Speech-Language Pathologist
144 WASHINGTON RD
EDGEWATER, MD 21037
Occupational Therapist
144 WASHINGTON RD
EDGEWATER, MD 21037
Occupational Therapist
144 WASHINGTON RD
EDGEWATER, MD 21037
Speech-Language Pathologist
144 WASHINGTON RD
EDGEWATER, MD 21037
Nurse Practitioner (Family)
144 WASHINGTON RD
EDGEWATER, MD 21037
Registered Nurse
144 WASHINGTON RD
EDGEWATER, MD 21037

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 Thi Of Maryland At South River LLC's NPI number?

The NPI number for Thi Of Maryland At South River LLC is 1467490003. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Thi Of Maryland At South River LLC located?

Thi Of Maryland At South River LLC is located at 144 Washington Rd, Edgewater, MD 21037. The listed phone number is (410) 956-5000.

What is Thi Of Maryland At South River LLC's specialty?

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

Does Thi Of Maryland At South River LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0690580) is associated with this NPI, valid through August 31, 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 Thi Of Maryland At South River LLC was last updated on September 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.