CRESCENT CITIES CHARITIES INC
Assisted Living Facility
Riverdale, Maryland
Provider NPI: 1407802010
Organization Information:Organization Name: CRESCENT CITIES CHARITIES INC
Practice Location:
4409 E WEST HWY RIVERDALE, MD 20737 US
Tel: 301-699-2000 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:
4409 E WEST HWY RIVERDALE, MD 20737 US
Tel: 301-699-2000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MD | 16ALA53 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MD | 16-039 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UNITED - EVERCARE | 71-00483 | 01 | |
CAREFIRST BLUECHOICE | HV2 | 01 | |
UNITED - MAMSI | 276684 | 01 | |
CAREFIRST - PROV/INQ# | 022S | 01 | |
088101500 | MD | 05 | |
AMERIGROUP | 53957 | 01 | |
CAREFIRST - IND/PPO | HV2 | 01 | |
AETNA-HMO | 2197479 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin