4140 Old Washington Highway Operations LLC
NPI 1861673428ActiveOrganization· Skilled Nursing Facility· Waldorf, MD
Skilled Nursing Facility in Waldorf, Maryland, registered in NPPES in November 2007. The authorized official on file is Michael T. Berg, Assistant Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1861673428 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2007 |
| Last updated in NPPES | Jun 3, 2021 |
| Certified by provider | Jun 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 08-006 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MD) |
|---|
Other Skilled Nursing Facility providers in Waldorf
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