Provider Demographics
NPI:1245437169
Name:HILLENDALE JOINT VENTURE, LLC
Entity type:Organization
Organization Name:HILLENDALE JOINT VENTURE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:MAIER
Authorized Official - Last Name:KARSHMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-653-7877
Mailing Address - Street 1:PO BOX 32837
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21282-2837
Mailing Address - Country:US
Mailing Address - Phone:410-653-7877
Mailing Address - Fax:410-653-7922
Practice Address - Street 1:8240 LOCH RAVEN BLVD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8213
Practice Address - Country:US
Practice Address - Phone:410-825-5575
Practice Address - Fax:410-825-5578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care