BROADMEAD MEDICAL SERVICES, INC
Assisted Living Facility
Cockeysville, Maryland
Provider NPI: 1801879390
Organization Information:Organization Name: BROADMEAD MEDICAL SERVICES, INC
Practice Location:
13801 YORK RD COCKEYSVILLE, MD 21030 US
Tel: 410-527-1900 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
13801 YORK RD COCKEYSVILLE, MD 21030 US
Tel: 410-527-1900 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ||
Y | 207QG0300X | Physicians Family Medicine |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUECROSSBLUESHIELD | 6902000000 | MD | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin