Potomac Operator LLC

Skilled Nursing Facility · Potomac, MD

Organization Active NPI

NPI number 1295510402

Practice location

10714 Potomac Tennis Ln
Potomac, MD 20854-4418
Phone
(301) 299-2273

Open in Google Maps

NPI record

NPI
1295510402
Entity type
Organization (Type 2)
Enumeration date
August 28, 2023
Last updated
August 28, 2023
Certified
August 27, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Authorized official

Name
Boruch Mermelstein
Title
Owner
Phone
(301) 299-2273

About Potomac Operator LLC

Potomac Operator LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 10714 Potomac Tennis Ln, Potomac, MD 20854-4418. The NPI number 1295510402 was assigned on August 28, 2023 and the record was last updated on August 28, 2023.

The authorized official for this organization is Boruch Mermelstein, Owner.

Frequently asked questions

What is the NPI number of Potomac Operator LLC?

The NPI number is 1295510402.

What is the phone number of Potomac Operator LLC?

The phone number listed for the practice location is (301) 299-2273.

Where is Potomac Operator LLC located?

10714 Potomac Tennis Ln, Potomac, MD 20854-4418.

What is the taxonomy code for Potomac Operator LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Skilled Nursing Facility providers in Potomac

All Skilled Nursing Facility providers in Potomac, MD →