SUMMIT PARK HEALTH AND REHABILITATION CENTER
NPI 1619098209
Skilled Nursing Facility in Catonsville, MD

Active since April 02, 2007CLIA 21D0886362 · Waiver
1502 FREDERICK RD, CATONSVILLE, MD 21228(410) 747-3287 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Park Health And Rehabilitation Center NPPES

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

SUMMIT PARK HEALTH AND REHABILITATION CENTER (NPI 1619098209) is a healthcare organization registered as a skilled nursing facility in Catonsville, Maryland and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Kelle C Santoro, Sr Director Ar, as its authorized official.

NPPES Registry Identity

NPI1619098209
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSSC CATONSVILLE OPERATING COMPANY LLC
Location Address1502 FREDERICK RDCatonsville, MD 21228-5019
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 11, 2020
NPPES CertifiedNovember 11, 2020
NPI 1619098209 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 · 03-042
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.
1502 FREDERICK RD, Catonsville, MD 21228

Other Names 1

Doing Business AsSummit Park Health And Rehabilitation Center

Other Identifiers 2

Medicaid406157800MD
Other407315100MD · 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 21D0886362

Summit Park Health And Rehabilitation Center Ssc Catonsville Operating Company · Catonsville, MD
Active · expires May 16, 2028
CLIA Number21D0886362
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorDeepak Baskaran MD
Laboratory Phone(410) 747-3287
Laboratory LocationSummit Park Health And Rehabilitation Center Ssc Catonsville Operating Company1502 Frederick Road, Catonsville, MD 21228
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Registered Nurse
1502 FREDERICK RD
CATONSVILLE, MD 21228
Skilled Nursing Facility
1502 FREDERICK RD
CATONSVILLE, MD 21228
Nurse Practitioner
1502 FREDERICK RD
CATONSVILLE, MD 21228
Physical Therapy Assistant
1502 FREDERICK RD
CATONSVILLE, MD 21228
Nurse Practitioner
1502 FREDERICK RD
CATONSVILLE, MD 21228
Internal Medicine (Nephrology)
1502 FREDERICK RD
CATONSVILLE, MD 21228
Occupational Therapy Assistant
1502 FREDERICK RD
CATONSVILLE, MD 21228
Physical Therapy Assistant
1502 FREDERICK RD
CATONSVILLE, MD 21228

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 Catonsville Operating Company LLC's NPI number?

The NPI number for Ssc Catonsville Operating Company LLC is 1619098209. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Summit Park Health And Rehabilitation Center.

Where is Ssc Catonsville Operating Company LLC located?

Ssc Catonsville Operating Company LLC is located at 1502 Frederick Rd, Catonsville, MD 21228. The listed phone number is (410) 747-3287.

What is Ssc Catonsville Operating Company LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 21D0886362) is associated with this NPI, valid through May 16, 2028. 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 Catonsville Operating Company LLC was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.