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NPI Code Detail

MEDICARE: FREDERICK HEALTH CARE LLC

MEDICARE: FREDERICK HEALTH CARE 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
1314000000XSkilled Nursing FacilityMD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366997421
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREDERICK HEALTH CARE LLC
Provider Business Mailing Address
First Line : 200 E 16TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4400
Country : US
Telephone Number : 301-662-8700
Fax Number : 301-662-4045
Provider Business Practice Location Address
First Line : 200 E 16TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4400
Country : US
Telephone Number : 301-662-8700
Fax Number : 301-662-4045
Authorized Official
Title or Position : VP
Name : LEANNA LENNOX
Credential :
Telephone Number : 301-662-8700
Provider Enumeration Date : 08/18/2016
Last Update Date : 02/10/2026

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Directions to “FREDERICK HEALTH CARE LLC ” Practice Location

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