ATRIUM VILLAGE
NPI 1902851827
Assisted Living Facility in Owings Mills, MD

NPI Status: Active since May 23, 2006

Contact Information

4730 ATRIUM CT
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 363-0330
Fax: (410) 363-8795

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 21D0985636
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 04-24-2027

About ATRIUM VILLAGE

This page provides the complete NPI Profile along with additional information for Atrium Village, a provider established in Owings Mills, Maryland operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1902851827 assigned on May 2006. The practitioner's primary taxonomy code is 310400000X with license number 03AL695 (MD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Atrium Village. The authorized official of this NPI record is Marcella Wilkinson (Corporate Director)

NPI
1902851827
Provider Legal Name
ATRIUM VILLAGE DEVELOPMENT, LLC
Other Organization Name
ATRIUM VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4730 ATRIUM CT OWINGS MILLS, MD 21117
Location Phone
(410) 363-0330
Location Fax
(410) 363-8795
Mailing Address
101 E STATE ST KENNETT SQUARE, PA 19348
Mailing Phone
(610) 925-4436
Mailing Fax
(410) 363-8795
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
08-16-2007
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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.
03AL695
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.

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

MARCELLA WILKINSON

Authorized Official Title
CORPORATE DIRECTOR
Authorized Official Phone
(610) 925-4045

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0985636
Facility Type
Rural Health Clinic
Certificate Effective Date
April 25, 2025
Certificate Expiration Date
April 24, 2027
Laboratory Director
KELLY C. BRUNSTETTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Atrium Village to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ATRIUM VILLAGE

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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.
1902851827
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902165284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 6 + 5 + 2 + 8 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1902851827 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316070675 HEATHER JO BRASWELL OTL
Individual
Occupational Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-0330
1295850659 CHRISTINA L HAUSSENER MS, OTR/L
Individual
Occupational Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1508984485MRS. SUSAN LITTLEFIELD
Individual
Occupational Therapy Assistant4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-0330
1962521344MR. FRANCIS AGUSTIN MALCAMPO RPT
Individual
Physical Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 998-8818
1487897278MS. PAMELA A. NEUBAUER PT
Individual
Physical Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1588807374MRS. KIMBERLY LYN CIRESI MSOTR/L
Individual
Occupational Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1508168659MRS. GILA KOHAN MASLIEH COTA/L
Individual
Occupational Therapy Assistant4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1568760817MRS. KIMBERLY J LEDSOME
Individual
Physical Therapy Assistant4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1932491636 SHANNON MARIE CAMPBELL DPT
Individual
Physical Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4730
1063705077DR. LAURIE ANN ENGELHARDT PT, DPT
Individual
Physical Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1225390297MRS. SUZANNE SULLIVAN GROSSMAN M.ED/CCC-SLP
Individual
Speech-Language Pathologist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1023456563 MELANIE BLISS MITCHELL M.S. CCC-SLP
Individual
Speech-Language Pathologist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1194153577MR. PHILIP WAGENER
Individual
Physical Therapy Assistant4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1104069814MS. CECEILA R. FORTUNE MS, OTR/L
Individual
Occupational Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1104123983MS. DORIS NENG RN
Individual
Nurse Practitioner (Family)4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-0330
1083046312 LYNDSEY WILSON PT,DPT
Individual
Physical Therapist4730 ATRIUM CT
OWINGS MILLS, MD 21117
(888) 666-0576
1851378566POWERBACK REHABILITATION LLC
Organization
Clinic/Center (Rehabilitation)4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 363-4790
1841084662BRIDGINGLIFE, INC
Organization
Family Medicine (Hospice and Palliative Medicine)4730 ATRIUM CT
OWINGS MILLS, MD 21117
(410) 871-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902851827, enumerated in the NPI registry as an "organization" on May 23, 2006

The provider is located at 4730 Atrium Ct Owings Mills, Md 21117 and the phone number is (410) 363-0330

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

The provider's CLIA number is 21D0985636 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 23, 2006. 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].
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