Provider Demographics
NPI:1659361905
Name:RUXTON HEALTHCARE II LLC
Entity Type:Organization
Organization Name:RUXTON HEALTHCARE II LLC
Other - Org Name:RUXTON HEALTH AND REHABILITATION CENTER OF PIKESVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-486-8771
Mailing Address - Street 1:7 SUDBROOK LN
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4118
Mailing Address - Country:US
Mailing Address - Phone:410-486-8771
Mailing Address - Fax:410-484-3080
Practice Address - Street 1:7 SUDBROOK LN
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4118
Practice Address - Country:US
Practice Address - Phone:410-486-8771
Practice Address - Fax:410-484-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03028314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
215082Medicare ID - Type Unspecified