Healthcare Provider Details

I. General information

NPI: 1902396112
Provider Name (Legal Business Name): CAM REHABILITATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 11/27/2023
Certification Date: 05/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29449 CHARLOTTE HALL RD
CHARLOTTE HALL MD
20622-3042
US

IV. Provider business mailing address

14205 PARK CENTER DR STE 204
LAUREL MD
20707-5252
US

V. Phone/Fax

Practice location:
  • Phone: 301-884-8171
  • Fax: 301-853-0096
Mailing address:
  • Phone: 301-853-0093
  • Fax: 301-853-0096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: CARLOS ARTURO MARTINEZ
Title or Position: PRESIDENT
Credential: PT, DPT
Phone: 301-853-0093