CALVERT MANOR HEALTHCARE CENTER, INC.
NPI 1336142702
Assisted Living Facility in Rising Sun, MD

NPI Status: Active since May 31, 2005

Contact Information

1881 TELEGRAPH RD
RISING SUN, MD
ZIP 21911
Phone: (410) 658-6555
Fax: (410) 658-9717

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  • Organization
  • Assisted Living Facility

About CALVERT MANOR HEALTHCARE CENTER, INC.

This page provides the complete NPI Profile along with additional information for Calvert Manor Healthcare Center, Inc., a provider established in Rising Sun, Maryland operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1336142702 assigned on May 2005. The practitioner's primary taxonomy code is 310400000X with license number 07AL0010 (MD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Donna R Culberson (Assistant Business Manager)

NPI
1336142702
Provider Name
CALVERT MANOR HEALTHCARE CENTER, INC.
Entity Type
Organization
Location Address
1881 TELEGRAPH RD RISING SUN, MD 21911
Location Phone
(410) 658-6555
Location Fax
(410) 658-9717
Mailing Address
1881 TELEGRAPH RD RISING SUN, MD 21911
Mailing Phone
(410) 658-6555
Mailing Fax
(410) 658-9717
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
07AL0010
License State
MD
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. DONNA R CULBERSON

Authorized Official Title
ASSISTANT BUSINESS MANAGER
Authorized Official Phone
(410) 658-6555

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02WZOTHER (01)MDBC/BS OF WEST VIRGINIA
02WZOTHER (01)MDEMPIRE BC/BS
02WZOTHER (01)MDFREESTATE HEALTH PLAN
69010000100322OTHER (01)MDBC/BS GENERAL MOTORS
59003901OTHER (01)MDMARYLAND BC/BS
953268980035OTHER (01)MDTRI CARE FOR LIFE
02WZOTHER (01)MDBC/BS OF MICHIGAN
02WZOTHER (01)MDBC/BS OF ILLINOIS
69010000100322OTHER (01)MDBC/BS NATIONAL ACCOUNT
30018856OTHER (01)MDKEYSTONE MERCY
02WZOTHER (01)MDIOWA BC/BS
615806OTHER (01)MDCOMBINED INSURANCE CO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336142702
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236624470
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 4 + 4 + 7 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1336142702 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194953729 FREDERICK EARL JENKINS III
Individual
Physical Therapist1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1174752471 RACHEL FULLAM OTR/L
Individual
Contractor1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1083958979 MICHELLE KRISTEN NIMMO MS, CCC-SLP
Individual
Speech-Language Pathologist1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1386988178 RICHARD J CHESNEY OTR/L
Individual
Occupational Therapist1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1386988897 TARA TESTERMAN
Individual
Physical Therapy Assistant1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1689918195 TIFFANY ROYER
Individual
Occupational Therapy Assistant1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1932443447 TERESA SMITHERS
Individual
Physical Therapy Assistant1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1184037368 BRITTANY DRAKE
Individual
Speech-Language Pathologist1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1558774398CALVERT MANOR HEALTHCARE CENTER, LLC
Organization
Skilled Nursing Facility1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
1649828922AXIS HEALTH AT CALVERT OPCO LLC
Organization
Skilled Nursing Facility1881 TELEGRAPH RD
RISING SUN, MD 21911
(516) 869-3700
1992857759RODNEY P. DONHAM, D.O.
Organization
Internal Medicine1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555
13661887401881 TELEGRAPH ROAD OPCO LLC
Organization
Skilled Nursing Facility1881 TELEGRAPH RD
RISING SUN, MD 21911
(410) 658-6555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336142702, enumerated in the NPI registry as an "organization" on May 31, 2005

The provider is located at 1881 Telegraph Rd Rising Sun, Md 21911 and the phone number is (410) 658-6555

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 31, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.