VINDOBONA NURSING AND REHABILITATION CENTER – NPI #1134468150
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

VINDOBONA NURSING AND REHABILITATION CENTER is a skilled nursing facility (SNF) located in FREDERICK, MD. NPPES has assigned the NPI number 1134468150 to VINDOBONA NURSING AND REHABILITATION CENTER on February 12, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VINDOBONA NURSING AND REHABILITATION CENTER” is a dba name, the actual legal business name for this organization is BRADDOCK HEIGHTS HEALTHCARE, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 13 years ago on Aug 12, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VINDOBONA NURSING AND REHABILITATION CENTER below.

NPI Profile for
BRADDOCK HEIGHTS HEALTHCARE, LLC

NPI Number
1134468150
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRADDOCK HEIGHTS HEALTHCARE, LLC
Doing Business As (dba): VINDOBONA NURSING AND REHABILITATION CENTER
Primary location
6012 JEFFERSON BLVD
FREDERICK, MD 21703-6953
Phone: (301) 371-7160 Fax: (301) 371-5921
Mailing address
7201 SHALLOWFORD RD
SUITE 200
CHATTANOOGA, TN 37421-2780
Phone: (423) 308-1845 Fax: (423) 308-1848
Organization Subpart
No
Authorized Official
CRAIG TAYLOR
CHIEF MANAGER
Phone: (423) 308-1845
Updated
Identifiers

Identifiers for VINDOBONA NURSING AND REHABILITATION CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD4215885 00
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
MD 10-005

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.