MEDICARE: FOREST GLEN NURSING AND REHABILITATION CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	814	MD

General Provider Information

NPI Number	:	1477508398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST GLEN NURSING AND REHABILITATION CENTER, LLC

Provider Business Mailing Address
First Line	:	2700 BARKER ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1001
Country	:	US
Telephone Number	:	410-458-9970
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 BARKER ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1001
Country	:	US
Telephone Number	:	410-458-9970
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. AHUVA Y WEINREB
Credential	:
Telephone Number	:	410-458-9970

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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