PROMEDICA SKILLED NURSING AND REHABILITATION (ROLAND PARK)
NPI 1952358566
Skilled Nursing Facility in Baltimore, MD

Active since May 28, 2006CLIA 21D0919488 · Waiver
4669 FALLS RD, BALTIMORE, MD 21209(410) 662-8606(410) 662-8608 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2022, Jan 17, 2022, Jun 5, 2017 (3 updates tracked since 2017).

About Promedica Skilled Nursing And Rehabilitation (roland Park) NPPES

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

PROMEDICA SKILLED NURSING AND REHABILITATION (ROLAND PARK) (NPI 1952358566) is a healthcare organization registered as a skilled nursing facility in Baltimore, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Martin D Allen, Director, as its authorized official.

NPPES Registry Identity

NPI1952358566
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMANOR CARE-ROLAND PARK MD LLC
Location Address4669 FALLS RDBaltimore, MD 21209-4914
Mailing Address333 N Summit StToledo, OH 43604-2615 · (419) 252-5500 · Fax (877) 385-9446
Fax(410) 662-8608
Organization SubpartNo
Authorized OfficialMartin D AllenDirector · (419) 252-5734
Enumeration DateMay 28, 2006
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
NPI 1952358566 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 · 30-013
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.
4669 FALLS RD, Baltimore, MD 21209

Other Names 1

Doing Business AsPromedica Skilled Nursing And Rehabilitation (roland Park)

Other Identifiers 1

Medicaid413521100MD

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 21D0919488

Manor Care - Roland Park MD LLC · Baltimore, MD
Active · expires Sep 9, 2026
CLIA Number21D0919488
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorDev Basu
Laboratory Phone(410) 662-8606
Laboratory LocationManor Care - Roland Park MD LLC4669 Falls Road, Baltimore, MD 21210
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 15

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

Optometrist
4669 FALLS RD
BALTIMORE, MD 21209
Physical Medicine & Rehabilitation
4669 FALLS RD
BALTIMORE, MD 21209
Internal Medicine (Nephrology)
4669 FALLS RD
BALTIMORE, MD 21209
Physical Therapy Assistant
4669 FALLS RD
BALTIMORE, MD 21209
Occupational Therapist
4669 FALLS RD
BALTIMORE, MD 21209
Internal Medicine
4669 FALLS RD
BALTIMORE, MD 21209
Internal Medicine
4669 FALLS RD
BALTIMORE, MD 21209
Specialist
4669 FALLS RD
BALTIMORE, MD 21209

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 Manor Care-Roland Park MD LLC's NPI number?

The NPI number for Manor Care-Roland Park MD LLC is 1952358566. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Promedica Skilled Nursing And Rehabilitation (roland Park).

Where is Manor Care-Roland Park MD LLC located?

Manor Care-Roland Park MD LLC is located at 4669 Falls Rd, Baltimore, MD 21209. The listed phone number is (410) 662-8606.

What is Manor Care-Roland Park MD LLC's specialty?

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

Does Manor Care-Roland Park MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0919488) is associated with this NPI, valid through September 9, 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 Manor Care-Roland Park MD LLC was last updated on January 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.