35 Milkshake Lane Operations LLC
35 Milkshake Lane Operations LLC is a healthcare organization registered as Skilled Nursing Facility in Annapolis, MD, holding Type 2 (organization) NPI 1083896559 since 2007. The authorized official on file is Michael Berg, Assistant Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083896559 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 35 Milkshake Lane Operations LLC |
| Other name | <Unavail> |
| Practice address | 35 MILKSHAKE LN, Annapolis, MD, 21403 |
| Phone | 4102695100 |
| Fax | 4102695453 |
| Enumeration date | 2007-11-27 |
| Last updated in NPPES | 2016-01-08 |
Authorized official
| Name | Michael Berg |
|---|---|
| Title | Assistant Secretary |
| Phone | 5054684752 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 02-026 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413973900 | Medicaid | MD | — |
Copy-ready billing details
Provider: 35 Milkshake Lane Operations LLC NPI: 1083896559 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 35 MILKSHAKE LN, Annapolis, MD, 21403
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053355479 | Kristyn Lyons | Individual | Primary Care Nurse Practitioner | Annapolis, MD |
| 1972548360 | Meridian Healthcare, Inc | Organization | Skilled Nursing Facility | Annapolis, MD |
| 1770600827 | Richard Bosworth | Individual | Physical Therapist | Annapolis, MD |
| 1053438994 | Karen Crandell | Individual | Physical Therapist | Annapolis, MD |
| 1619094232 | Carla White-Eatwell | Individual | Physical Therapy Assistant | Annapolis, MD |
| 1679691596 | Pamela Shaffer | Individual | Physical Therapist | Annapolis, MD |
| 1306965918 | Kristine Archer | Individual | Speech-Language Pathologist | Annapolis, MD |
| 1720108863 | Edward Surak | Individual | Occupational Therapist | Annapolis, MD |
Verify this record
Cross-check NPI 1083896559 against the authoritative CMS record: view 35 Milkshake Lane Operations LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is 35 Milkshake Lane Operations LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-01-08.