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Haven Nursing Home, Inc
Nursing Facility/Intermediate Care Facility in Baltimore, Maryland
NPI 1265436885

Haven Nursing Home, Inc is a Nursing Facility/Intermediate Care Facility based in Baltimore, MD. Haven Nursing Home, Inc practices in Baltimore, MD. The NPI Number for Haven Nursing Home, Inc is 1265436885 and holds a License No. 30074 (Maryland).

The current practice location address for Haven Nursing Home, Inc is 3939 Penhurst Ave, Baltimore, MD and can be reached out via phone at 410-664-9535 and via fax at 410-664-0806.

Location: 3939 Penhurst Ave, Baltimore, MD, 21215-5632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265436885
Provider Name
Haven Nursing Home, Inc
Credential
Provider Entity Type
Organization
Address
3939 Penhurst Ave, Baltimore, MD, 21215-5632
Phone Number
410-664-9535
Fax Number
410-664-0806
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300687500 05 MD
institution
Provider Business Practice Location Address Details
Address
3939 Penhurst Ave
City
Baltimore
State
Maryland
Zip
21215-5632
Phone Number
410-664-9535
Fax Number
410-664-0806
person
Provider Business Mailing Address Details
Address
3939 Penhurst Ave
City
Baltimore
State
Maryland
Zip
21215-5632
Phone Number
410-664-9535
Fax Number
410-664-0806
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
30074 (Maryland)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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