Provider Demographics
NPI:1023306164
Name:TRANSITIONS HEALTHCARE OAKLAND MANOR LLC
Entity type:Organization
Organization Name:TRANSITIONS HEALTHCARE OAKLAND MANOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-795-1100
Mailing Address - Street 1:2810 KAYWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6903
Mailing Address - Country:US
Mailing Address - Phone:410-795-4100
Mailing Address - Fax:410-795-4101
Practice Address - Street 1:2810 KAYWOOD PL
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-6903
Practice Address - Country:US
Practice Address - Phone:410-795-4100
Practice Address - Fax:410-795-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility