Provider Demographics
NPI:1558318774
Name:HAMILTON CENTER, LLC
Entity Type:Organization
Organization Name:HAMILTON CENTER, LLC
Other - Org Name:HAMILTON 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:DORPESKEY
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 1:6040 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-1327
Practice Address - Country:US
Practice Address - Phone:410-426-8855
Practice Address - Fax:410-444-1260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30-025314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
02YCOtherCAREFIRST-PROV/INQ#
08902OtherAMERIGROUP
445105OtherUNITED - MAMSI
71-00170OtherUNITED - EVERCARE
RY1OtherCAREFIRST BLUECHOICE
MD408135800Medicaid
RY1OtherCAREFIRST-IND/PPO
1076980OtherAETNA-HMO
1076980OtherAETNA-HMO
=========OtherMARYLAND PHYSICIAN CARE
=========OtherHNFS - TRICARE
=========OtherJOHNS HOPKINS
RY1OtherCAREFIRST-IND/PPO
=========OtherCAREFIRST - TIN
=========OtherAETNA-NONHMO
=========OtherNATIONAL CAPITAL PPO
71-00170OtherUNITED - EVERCARE
=========OtherHELIXCARE (MEDSTAR)