MEDICARE: ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC.

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1568214849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC.

Provider Business Mailing Address
First Line	:	820 W DIAMOND AVE
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-1419
Country	:	US
Telephone Number	:	301-315-3826
Fax Number	:	240-516-5182

Provider Business Practice Location Address
First Line	:	8807 COLESVILLE RD FL 3
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4346
Country	:	US
Telephone Number	:	240-864-6802
Fax Number	:

Authorized Official
Title or Position	:	SVP/CFO
Name	:	KRISTEN PULIO
Credential	:
Telephone Number	:	301-315-3569

Provider Enumeration Date	:	04/02/2024
Last Update Date	:	04/02/2024

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