200 WHITMAN AVENUE OPCO LLC
NPI 1609450386
Skilled Nursing Facility in Elkins, WV
About 200 Whitman Avenue Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
200 WHITMAN AVENUE OPCO LLC (NPI 1609450386), doing business as Autumn Lake Healthcare At Crystal Springs, is a healthcare organization registered as a skilled nursing facility in Elkins, West Virginia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Sam Stern, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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 51D0886558
200 Whitman Avenue Opco LLC Dba Autumn Lake Healthcare At Crystal Springs · Elkins, WVNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Autumn Lake Healthcare At Crystal Springs (CMS certification number 515197), from CMS Care Compare.
Autumn Lake Healthcare At Crystal Springs
Nursing home · Elkins, WVCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKINS, WV 26241
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 200 Whitman Avenue Opco LLC's NPI number?
The NPI number for 200 Whitman Avenue Opco LLC is 1609450386. It was assigned to this organization in the NPPES registry on May 10, 2021. The provider is doing business as Autumn Lake Healthcare at Crystal Springs.
Where is 200 Whitman Avenue Opco LLC located?
200 Whitman Avenue Opco LLC is located at 200 Whiteman Ave, Elkins, WV 26241. The listed phone number is (877) 567-0402.
What is 200 Whitman Avenue Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does 200 Whitman Avenue Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D0886558) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is 200 Whitman Avenue Opco LLC a Medicare-certified nursing home?
Yes. Autumn Lake Healthcare At Crystal Springs is a Medicare-certified nursing home with 84 certified beds.
What quality rating does 200 Whitman Avenue Opco LLC have?
CMS rates Autumn Lake Healthcare At Crystal Springs 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
When was this NPI record last updated?
The NPPES record for 200 Whitman Avenue Opco LLC was last updated on March 14, 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.