Provider Demographics
NPI:1558318386
Name:FRANKLIN SQUARE-MERIDIAN HEALTHCARE NURSING HOME LTD PARTNERSHIP
Entity Type:Organization
Organization Name:FRANKLIN SQUARE-MERIDIAN HEALTHCARE NURSING HOME LTD PARTNERSHIP
Other - Org Name:FRANKLIN WOODS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-468-4752
Mailing Address - Street 1:9200 FRANKLIN SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4458
Mailing Address - Country:US
Mailing Address - Phone:410-391-2600
Mailing Address - Fax:
Practice Address - Street 1:9200 FRANKLIN SQUARE DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4458
Practice Address - Country:US
Practice Address - Phone:410-391-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03-065314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0181360OtherAETNA-HMO
245115OtherUNITED - MAMSI
7100505OtherUNITED - EVERCARE
02ELOtherCAREFIRST - PROV/INQ#
08862OtherAMERIGROUP
MD030177900Medicaid
MK2OtherCAREFIRST - IND/PPO
MK2OtherCAREFIRST BLUCHOICE
=========OtherHELIXCARE (MEDSTAR)
=========OtherAETNA-NONHMO
MD030177900Medicaid
=========OtherJOHNS HOPKINS
=========OtherKAISER
=========OtherNATIONAL CAPITAL PPO
08862OtherAMERIGROUP
MK2OtherCAREFIRST - IND/PPO
0181360OtherAETNA-HMO
MK2OtherCAREFIRST BLUCHOICE