Provider Demographics
NPI:1487600466
Name:CATON MANOR CENTER LLC
Entity type:Organization
Organization Name:CATON MANOR CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:3330 WILKENS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-4610
Practice Address - Country:US
Practice Address - Phone:410-525-1544
Practice Address - Fax:410-525-3146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30-008314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4080133100Medicaid
02Y8OtherCAREFIRST - PROV/INQ #
RY3OtherCAREFIRST - IND/PPO
RY3OtherCAREFIRST - BLUE CHOICE
1076891OtherAETNA-HMO
08816OtherAMERIGROUP
71-00149OtherUNITED - EVERCARE
=========OtherCOVENTRY DIAMOND PLAN
=========OtherHELIXCARE (MEDSTAR)
02Y8OtherCAREFIRST - PROV/INQ #
71-00149OtherUNITED - EVERCARE
=========OtherJOHN HOPKINS
=========OtherAETNA-NONHMO
08816OtherAMERIGROUP
=========OtherCIGNA-MID-ATLANTIC
=========OtherCOVENTRY PPO
=========OtherMARYLAND PHYSICIAN CARE
MD4080133100Medicaid