COPPER RIDGE NURSING AND ASSISTED LIVING CENTER
NPI 1023871522
Skilled Nursing Facility in Sykesville, MD

Active since February 06, 2024CLIA 21D1027558 · Waiver
710 OBRECHT RD, SYKESVILLE, MD 21784(410) 795-8808 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Copper Ridge Nursing And Assisted Living Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPER RIDGE NURSING AND ASSISTED LIVING CENTER (NPI 1023871522) is a healthcare organization registered as a skilled nursing facility in Sykesville, Maryland and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Moshe Mayer, Manager, as its authorized official.

NPPES Registry Identity

NPI1023871522
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARROLL MD OPCO LLC
Location Address710 OBRECHT RDSykesville, MD 21784-7650
Mailing Address710 Obrecht RdSykesville, MD 21784-7650
Organization SubpartNo
Authorized OfficialMoshe MayerManager · (718) 614-8341
Enumeration DateFebruary 6, 2024
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1023871522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedRespite CareTaxonomy 385H00000X
710 OBRECHT RD, Sykesville, MD 21784

Other Names 1

Doing Business AsCopper Ridge Nursing And Assisted Living Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1027558

Copper Ridge Nursing & Assisted Living · Sykesville, MD
Active · expires Sep 22, 2026
CLIA Number21D1027558
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorDr. Narender P. Bharaj
Laboratory Phone(410) 795-8808
Laboratory LocationCopper Ridge Nursing & Assisted Living710 Obrecht Road, Sykesville, MD 21784
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
710 OBRECHT RD
SYKESVILLE, MD 21784
Internal Medicine
710 OBRECHT RD
SYKESVILLE, MD 21784
Physical Medicine & Rehabilitation (Pain Medicine)
710 OBRECHT RD
SYKESVILLE, MD 21784
Physical Therapist
710 OBRECHT RD
SYKESVILLE, MD 21784
Physical Medicine & Rehabilitation (Brain Injury Medicine)
710 OBRECHT RD
SYKESVILLE, MD 21784
Occupational Therapy Assistant
710 OBRECHT RD
SYKESVILLE, MD 21784
Psychiatry & Neurology (Geriatric Psychiatry)
710 OBRECHT RD
SYKESVILLE, MD 21784
Family Medicine (Hospice and Palliative Medicine)
710 OBRECHT RD
SYKESVILLE, MD 21784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carroll MD Opco LLC's NPI number?

The NPI number for Carroll MD Opco LLC is 1023871522. It was assigned to this organization in the NPPES registry on February 6, 2024. The provider is doing business as Copper Ridge Nursing And Assisted Living Center.

Where is Carroll MD Opco LLC located?

Carroll MD Opco LLC is located at 710 Obrecht Rd, Sykesville, MD 21784. The listed phone number is (410) 795-8808.

What is Carroll MD Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Carroll MD Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1027558) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carroll MD Opco LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.