Provider Demographics
NPI:1134293137
Name:KENSINGTON NURSING, LLC
Entity Type:Organization
Organization Name:KENSINGTON NURSING, LLC
Other - Org Name:KENSINGTON NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-938-8703
Mailing Address - Street 1:3000 MCCOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2316
Mailing Address - Country:US
Mailing Address - Phone:301-933-0060
Mailing Address - Fax:
Practice Address - Street 1:3000 MCCOMAS AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2316
Practice Address - Country:US
Practice Address - Phone:301-933-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
215043Medicare Oscar/Certification
5944650001Medicare NSC