Provider Demographics
NPI:1073569653
Name:COLLEGE VIEW CENTER LLC
Entity Type:Organization
Organization Name:COLLEGE VIEW CENTER LLC
Other - Org Name:COLLEGE VIEW CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:700 TOLL HOUSE AVE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4575
Practice Address - Country:US
Practice Address - Phone:301-663-5181
Practice Address - Fax:301-663-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10-002314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
08833OtherAMERIGROUP
RY2OtherCAREFIRST-IND/PPO
RY2OtherCAREFIRST-BLUE-CHOICE
02Y9OtherCAREFIRST-PROV/INQ#
1076920OtherAETNA-HMO
71-00315OtherUNITED - EVERCARE
345101OtherUNITED - MAMSI
MD408134000Medicaid
RY2OtherCAREFIRST-IND/PPO
02Y9OtherCAREFIRST-PROV/INQ#
=========OtherAETNA-NONHMO
71-00315OtherUNITED - EVERCARE
=========OtherCIGNA OF MID-ATLANTIC
=========OtherKAISER
=========OtherMARYLAND PHYSICIAN CARE
RY2OtherCAREFIRST-BLUE-CHOICE
=========OtherCAREFIRST - TIN
=========OtherCOVENTRY