MEDICARE: ALBENIZ CARE THERAPIES 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
1	3140N1450X	Pediatric Skilled Nursing Facility
2	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1992668784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBENIZ CARE THERAPIES LLC

Provider Business Mailing Address
First Line	:	2002 TUSCARORA VALLEY CT
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-7900
Country	:	US
Telephone Number	:	240-205-7979
Fax Number	:	240-415-6084

Provider Business Practice Location Address
First Line	:	2002 TUSCARORA VALLEY CT
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-7900
Country	:	US
Telephone Number	:	240-205-7979
Fax Number	:	240-415-6084

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OLIVIA P OBUADEY
Credential	:
Telephone Number	:	240-205-7979

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ALBENIZ CARE THERAPIES LLC ” Practice Location

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