Provider Demographics
NPI:1982690558
Name:MARIA HEALTH CARE CENTER, INC.
Entity Type:Organization
Organization Name:MARIA HEALTH CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIAMANNA
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:410-377-7774
Mailing Address - Street 1:6401 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1016
Mailing Address - Country:US
Mailing Address - Phone:410-377-7774
Mailing Address - Fax:410-377-6042
Practice Address - Street 1:6401 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1016
Practice Address - Country:US
Practice Address - Phone:410-377-7774
Practice Address - Fax:410-377-6042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03-069314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7349382OtherCIGNA
MD0S26OtherBLUE CROSS BLUE SHIELD
MD0S26OtherBLUE CROSS BLUE SHIELD