Healthcare Provider Details

I. General information

NPI: 1659708907
Provider Name (Legal Business Name): NMS HEALTHCARE OF SILVER SPRING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 RANDOLPH RD
SILVER SPRING MD
20902-1054
US

IV. Provider business mailing address

4922 LASALLE RD
HYATTSVILLE MD
20782-3302
US

V. Phone/Fax

Practice location:
  • Phone: 301-864-2333
  • Fax: 855-275-8043
Mailing address:
  • Phone: 301-864-2333
  • Fax: 855-275-8043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. MARK A YOST JR.
Title or Position: GENERAL COUNSEL
Credential: ESQ.
Phone: 301-864-2333