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MARY T MARYLAND
NPI 1629302401
Intermediate Care Facility, Intellectual Disabilities in Severna Park, MD

Active since September 25, 2009
820 RITCHIE HWY STE 100, SEVERNA PARK, MD 21146(410) 544-6813(410) 544-6818 Get Directions Write a Review

NPPES record last updated: September 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary T Maryland NPPES

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

MARY T MARYLAND (NPI 1629302401) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Severna Park, Maryland and active in the NPI registry since September 2009. The organization lists Connie Winbauer, Controller, as its authorized official.

NPPES Registry Identity

NPI1629302401
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMARY T MARYLAND
Location Address820 RITCHIE HWY STE 100Severna Park, MD 21146-4111
Mailing Address1555 118th Ln NwCoon Rapids, MN 55448-7579 · (763) 862-5436 · Fax (763) 754-0332
Phone(410) 544-6813
Fax(410) 544-6818
Organization SubpartNo
Authorized OfficialConnie WinbauerController · (763) 862-5436
Enumeration DateSeptember 25, 2009
✔ NPI 1629302401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
820 RITCHIE HWY STE 100, Severna Park, MD 21146
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Other Identifiers 1

Medicaid580015300MD

Other Providers at the Same Location NPPES 8

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

LUMINIS HEALTH MEDICAL GROUP, LLC
Orthopaedic Surgery
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1000
LHMG PHYSICAL THERAPY, LLC
Physical Therapist
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1140
LUMINIS HEALTH MEDICAL GROUP, LLC
Physical Therapist
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1000
COURTNEY HODGES PTA
Physical Therapy Assistant
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1140
BENJAMIN CZAJKOWSKI
Physical Therapy Assistant
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1140
KYLIE WATERMAN
Occupational Therapist
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1140
LUMINIS HEALTH MEDICAL GROUP, LLC
Clinic/Center
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1000
ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Surgery (Surgery of the Hand)
820 RITCHIE HWY STE 100
SEVERNA PARK, MD 21146
Anne Arundel County (443) 481-1140

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 Mary T Maryland's NPI number?

The NPI number for Mary T Maryland is 1629302401. It was assigned to this organization in the NPPES registry on September 25, 2009.

Where is Mary T Maryland located?

Mary T Maryland is located at 820 Ritchie Hwy Ste 100, Severna Park, MD 21146. The listed phone number is (410) 544-6813.

What is Mary T Maryland's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Mary T Maryland was last updated on September 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.