AUTUMN RIDGE AT NORTH OAKS
NPI 1215911961
Skilled Nursing Facility in Baltimore, MD

Active since December 05, 2005CLIA 21D0694809 · Waiver
725 MOUNT WILSON LN, BALTIMORE, MD 21208(410) 484-7300(410) 484-1058 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 28, 2019, May 23, 2018, May 14, 2018 and 1 more (4 updates tracked since 2018).

About Autumn Ridge At North Oaks NPPES

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

AUTUMN RIDGE AT NORTH OAKS (NPI 1215911961) is a healthcare organization registered as a skilled nursing facility in Baltimore, Maryland and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Allison D Mercuris Pendroy, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1215911961
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTH OAKS PARTNERSHIP
Location Address725 MOUNT WILSON LNBaltimore, MD 21208
Mailing Address725 Mount Wilson LaneBaltimore, MD 21208-1105 · (410) 484-7300 · Fax (410) 484-1058
Fax(410) 484-1058
Organization SubpartNo
Authorized OfficialAllison D Mercuris PendroySenior Vice President · (515) 875-4500
Enumeration DateDecember 5, 2005
Last NPPES UpdateAugust 28, 20194 updates tracked since enumeration
NPI 1215911961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MD · 03-026
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 ListedAssisted Living FacilityTaxonomy 310400000X · License 03AL0260 (MD)
725 MOUNT WILSON LN, Baltimore, MD 21208

Other Names 1

Doing Business AsAutumn Ridge At North Oaks

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 21D0694809

Autumn Ridge At North Oaks · Baltimore, MD
Active · expires Jul 9, 2028
CLIA Number21D0694809
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorJeffrey K. Zibell
Laboratory Phone(410) 484-7300
Laboratory LocationAutumn Ridge At North Oaks725 Mt Wilson Lane, Baltimore, MD 21208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Speech-Language Pathologist
725 MOUNT WILSON LN
PIKESVILLE, MD 21208
Nursing Facility/Intermediate Care Facility
725 MOUNT WILSON LN
BALTIMORE, MD 21208
Internal Medicine
725 MOUNT WILSON LN
PIKESVILLE, MD 21208
Occupational Therapist
725 MOUNT WILSON LN
PIKESVILLE, MD 21208
Clinic/Center (Health Service)
725 MOUNT WILSON LN
BALTIMORE, MD 21208
Skilled Nursing Facility
725 MOUNT WILSON LN
PIKESVILLE, MD 21208
Physical Therapist
725 MOUNT WILSON LN
PIKESVILLE, MD 21208
Speech-Language Pathologist
725 MOUNT WILSON LN
PIKESVILLE, MD 21208

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 North Oaks Partnership's NPI number?

The NPI number for North Oaks Partnership is 1215911961. It was assigned to this organization in the NPPES registry on December 5, 2005. The provider is doing business as Autumn Ridge At North Oaks.

Where is North Oaks Partnership located?

North Oaks Partnership is located at 725 Mount Wilson Ln, Baltimore, MD 21208. The listed phone number is (410) 484-7300.

What is North Oaks Partnership's specialty?

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

Does North Oaks Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0694809) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Oaks Partnership was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.