RAVENWOOD LUTHERAN VILLAGE
NPI 1861459430
Skilled Nursing Facility in Hagerstown, MD

Active since April 27, 2006
1183 LUTHER DR, HAGERSTOWN, MD 21740(240) 420-4133(240) 420-4218 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2019, Jan 22, 2016 (2 updates tracked since 2016).

About Ravenwood Lutheran Village NPPES

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

RAVENWOOD LUTHERAN VILLAGE (NPI 1861459430) is a healthcare organization registered as a skilled nursing facility in Hagerstown, Maryland and active in the NPI registry since April 2006. The organization lists Jarrod Leo, Senior Vp, Financial Planning & Ope, as its authorized official.

NPPES Registry Identity

NPI1861459430
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIAKON LUTHERAN SENIOR LIVING - MARYLAND LLC
Location Address1183 LUTHER DRHagerstown, MD 21740-7407
Mailing Address1022 North Union StreetMiddletown, PA 17057-2158 · (717) 795-0386 · Fax (717) 795-0353
Fax(240) 420-4218
Organization SubpartNo
Authorized OfficialJarrod LeoSenior Vp, Financial Planning & Ope · (717) 795-0364
Enumeration DateApril 27, 2006
Last NPPES UpdateApril 10, 20192 updates tracked since enumeration
NPI 1861459430 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 · 21010
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.
1183 LUTHER DR, Hagerstown, MD 21740

Other Names 1

Doing Business AsRavenwood Lutheran Village

Other Identifiers 3

Medicaid2175479P0005MD
Medicaid421699700MD
Medicaid7563001P0002MD

Other Providers at the Same Location NPPES 18

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

Physical Therapist
1183 LUTHER DR
HAGERSTOWN, MD 21740
Physical Therapist
1183 LUTHER DR
HAGERSTOWN, MD 21740
Physical Therapy Assistant
1183 LUTHER DR
HAGERSTOWN, MD 21740
Occupational Therapy Assistant
1183 LUTHER DR
HAGERSTOWN, MD 21740
Nurse Practitioner
1183 LUTHER DR
HAGERSTOWN, MD 21740
Physical Therapy Assistant
1183 LUTHER DR
HAGERSTOWN, MD 21740
Skilled Nursing Facility
1183 LUTHER DR
HAGERSTOWN, MD 21740
Physical Therapy Assistant
1183 LUTHER DR
HAGERSTOWN, MD 21740

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 Diakon Lutheran Senior Living - Maryland LLC's NPI number?

The NPI number for Diakon Lutheran Senior Living - Maryland LLC is 1861459430. It was assigned to this organization in the NPPES registry on April 27, 2006. The provider is doing business as Ravenwood Lutheran Village.

Where is Diakon Lutheran Senior Living - Maryland LLC located?

Diakon Lutheran Senior Living - Maryland LLC is located at 1183 Luther Dr, Hagerstown, MD 21740. The listed phone number is (240) 420-4133.

What is Diakon Lutheran Senior Living - Maryland LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Diakon Lutheran Senior Living - Maryland LLC was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.