VINDOBONA NURSING HOME
NPI 1730160805
Skilled Nursing Facility in Braddock Heights, MD

Active since November 07, 2005CLIA 21D0711755 · Waiver
6012 JEFFERSON BLVD, BRADDOCK HEIGHTS, MD 21714(301) 371-7160(301) 371-5921 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vindobona Nursing Home NPPES

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

VINDOBONA NURSING HOME (NPI 1730160805) is a healthcare organization registered as a skilled nursing facility in Braddock Heights, Maryland and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Randall Scott Martin, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1730160805
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE VINDOBONA, INC.
Location Address6012 JEFFERSON BLVDBraddock Heights, MD 21714
Mailing AddressPo Box 318Braddock Heights, MD 21714-0318 · (301) 371-7160 · Fax (301) 371-5921
Fax(301) 371-5921
Organization SubpartNo
Authorized OfficialRandall Scott MartinSecretary/treasurer · (301) 371-7160
Enumeration DateNovember 7, 2005
Last NPPES UpdateNovember 4, 2011
NPI 1730160805 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 · 10005
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.
6012 JEFFERSON BLVD, Braddock Heights, MD 21714

Other Names 1

Doing Business AsVindobona Nursing Home

Other Identifiers 1

Medicare ID-Type Unspecified215199

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 21D0711755

Vindobona Nursing Home Inc,the · Braddock Heights, MD
Active · expires Aug 31, 2026
CLIA Number21D0711755
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Praveen Bolarum
Laboratory Phone(301) 371-7160
Laboratory LocationVindobona Nursing Home Inc,the6012 Jefferson Blvd PO Box 318, Braddock Heights, MD 21714
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Vindobona, Inc.'s NPI number?

The NPI number for The Vindobona, Inc. is 1730160805. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is doing business as Vindobona Nursing Home.

Where is The Vindobona, Inc. located?

The Vindobona, Inc. is located at 6012 Jefferson Blvd, Braddock Heights, MD 21714. The listed phone number is (301) 371-7160.

What is The Vindobona, Inc.'s specialty?

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

Does The Vindobona, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0711755) 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 The Vindobona, Inc. was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.