Provider Demographics
NPI:1700252830
Name:BESTCARE ASSISTED LIVING
Entity Type:Organization
Organization Name:BESTCARE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BSN,RN,CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:DARA
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-596-5863
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21102-0577
Mailing Address - Country:US
Mailing Address - Phone:410-596-5863
Mailing Address - Fax:
Practice Address - Street 1:639 MAIN ST
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1931
Practice Address - Country:US
Practice Address - Phone:410-596-5863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03AL0963F310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD56957048000Medicaid