KING DAVID AT AUTUMN LAKE LLC
NPI 1497222830
Skilled Nursing Facility in Pikesville, MD

Active since October 24, 2018
4204 OLD MILFORD MILL RD, PIKESVILLE, MD 21208(410) 486-1500 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About King David At Autumn Lake Llc NPPES

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

KING DAVID AT AUTUMN LAKE LLC (NPI 1497222830), doing business as King David Nursing And Rehabilitation Center, is a healthcare organization registered as a skilled nursing facility in Pikesville, Maryland and active in the NPI registry since October 2018. The organization lists Sam Stern, Cfo, as its authorized official.

NPPES Registry Identity

NPI1497222830
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKING DAVID AT AUTUMN LAKE LLC
Location Address4204 OLD MILFORD MILL RDPikesville, MD 21208-6031
Mailing Address14c 53rd St Ste 220Brooklyn, NY 11232-2644 · (718) 567-0400
Organization SubpartNo
Authorized OfficialSam SternCfo · (718) 567-0400
Enumeration DateOctober 24, 2018
NPI 1497222830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4204 OLD MILFORD MILL RD, Pikesville, MD 21208

Other Names 1

Doing Business AsKing David Nursing And Rehabilitation Center

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
4204 OLD MILFORD MILL RD
PIKESVILLE, MD 21208
Family Medicine (Hospice and Palliative Medicine)
4204 OLD MILFORD MILL RD
PIKESVILLE, MD 21208
Skilled Nursing Facility
4204 OLD MILFORD MILL RD
BALTIMORE, MD 21208
Family Medicine (Hospice and Palliative Medicine)
4204 OLD MILFORD MILL RD
PIKESVILLE, MD 21208
Optometrist
4204 OLD MILFORD MILL RD
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 King David At Autumn Lake LLC's NPI number?

The NPI number for King David At Autumn Lake LLC is 1497222830. It was assigned to this organization in the NPPES registry on October 24, 2018. The provider is doing business as King David Nursing and Rehabilitation Center.

Where is King David At Autumn Lake LLC located?

King David At Autumn Lake LLC is located at 4204 Old Milford Mill Rd, Pikesville, MD 21208. The listed phone number is (410) 486-1500.

What is King David At Autumn Lake 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 King David At Autumn Lake LLC was last updated on October 24, 2018. 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.