OrganizationActive
Cherry Lane Medical Investors LLC
NPI 1124074620 · Skilled Nursing Facility · Laurel, MD
Provider details
- NPI number
- 1124074620
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Fg Healthcare Propertys, LLC
- Organization subpart
- Yes
- Authorized official
- Tim Beaulieu, Owner(404) 876-3836
- License
- 16-033 (MD)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9001 Cherry Ln
Laurel, MD 20708-1155
Phone: (301) 498-8558
Fax: (301) 317-1930
Street-level locationGet directions
Mailing address
9001 Cherry Ln
Laurel, MD 20708-1155
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2009-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.