115 EAST MELROSE OPCO LLC
NPI 1043896814
Skilled Nursing Facility in Baltimore, MD
About 115 East Melrose Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
115 EAST MELROSE OPCO LLC (NPI 1043896814), doing business as Autumn Lake Healthcare At Long Green, is a healthcare organization registered as a skilled nursing facility in Baltimore, Maryland and active in the NPI registry since March 2021. The organization lists Sam Stern, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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.
BALTIMORE, MD 21212
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 115 East Melrose Opco LLC's NPI number?
The NPI number for 115 East Melrose Opco LLC is 1043896814. It was assigned to this organization in the NPPES registry on March 22, 2021. The provider is doing business as Autumn Lake Healthcare at Long Green.
Where is 115 East Melrose Opco LLC located?
115 East Melrose Opco LLC is located at 115 E Melrose Ave, Baltimore, MD 21212. The listed phone number is (877) 567-0402.
What is 115 East Melrose Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
When was this NPI record last updated?
The NPPES record for 115 East Melrose Opco LLC was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.