Organization
SSC BETHESDA OPERATING COMPANY LLC
Active
Other names
Bethesda Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
5721 GROSVENOR LN, BETHESDA, MD 20814-1833
(301) 530-1600
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
026575600
DC
314000000X
Skilled Nursing Facility
Primary
15-014
MD
385H00000X
Respite Care
15-014
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026575600
SNF-ICF PROVIDER NUMBER
DC
05
—
406154300
—
MD
05
—
796807800
—
MD
Enumeration date
04/02/2007
Last updated
11/11/2020
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