Healthcare Provider Details

I. General information

NPI: 1598740821
Provider Name (Legal Business Name): LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 W BELVEDERE AVE
BALTIMORE MD
21215-5202
US

IV. Provider business mailing address

2434 W BELVEDERE AVE
BALTIMORE MD
21215-5202
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-2935
  • Fax: 410-601-2925
Mailing address:
  • Phone: 410-601-2935
  • Fax: 410-601-2925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License Number30-088
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number30088
License Number StateMD

VIII. Authorized Official

Name: MRS. SHARON HENDIRX
Title or Position: ADMINISTRATOR
Credential:
Phone: 410-601-2400