1502 FREDERICK ROAD OPCO LLC
NPI 1184373250
Skilled Nursing Facility in Catonsville, MD
About 1502 Frederick Road Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
1502 FREDERICK ROAD OPCO LLC (NPI 1184373250), doing business as Autumn Lake Healthcare At Summit Park, is a healthcare organization registered as a skilled nursing facility in Catonsville, Maryland and active in the NPI registry since March 2022. 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CATONSVILLE, MD 21228
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 1502 Frederick Road Opco LLC's NPI number?
The NPI number for 1502 Frederick Road Opco LLC is 1184373250. It was assigned to this organization in the NPPES registry on March 23, 2022. The provider is doing business as Autumn Lake Healthcare at Summit Park.
Where is 1502 Frederick Road Opco LLC located?
1502 Frederick Road Opco LLC is located at 1502 Frederick Rd, Catonsville, MD 21228. The listed phone number is (410) 747-3287.
What is 1502 Frederick Road 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 1502 Frederick Road Opco LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.