AUGSBURG LUTHERAN HOME OF MD INC
NPI 1720085897
Skilled Nursing Facility in Baltimore, MD

Active since July 05, 2005CLIA 21D0217195 · Waiver
6811 CAMPFIELD RD, BALTIMORE, MD 21207(410) 486-4573(410) 653-8744 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Augsburg Lutheran Home Of Md Inc NPPES

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

AUGSBURG LUTHERAN HOME OF MD INC (NPI 1720085897) is a healthcare organization registered as a skilled nursing facility in Baltimore, Maryland and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jerome David Potter, Information Systems Manager, as its authorized official.

NPPES Registry Identity

NPI1720085897
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAUGSBURG LUTHERAN HOME OF MD INC
Location Address6811 CAMPFIELD RDBaltimore, MD 21207-4657
Mailing Address6811 Campfield RdBaltimore, MD 21207-4657 · (410) 486-4573 · Fax (410) 653-8744
Fax(410) 653-8744
Organization SubpartNo
Authorized OfficialJerome David PotterInformation Systems Manager · (443) 471-1004
Enumeration DateJuly 5, 2005
Last NPPES UpdateOctober 24, 2011
NPI 1720085897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MD · 03-003
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.
6811 CAMPFIELD RD, Baltimore, MD 21207

Other Identifiers 3

Medicaid032087100MD
Medicare ID-Type Unspecified21-5193MD
Other71-00455MD · Evercare

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 21D0217195

Augsburg Lutheran Home · Baltimore, MD
Active · expires Aug 31, 2026
CLIA Number21D0217195
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGlenn Scherer
Laboratory Phone(410) 486-4573
Laboratory LocationAugsburg Lutheran Home6811 Campfield Rd, Baltimore, MD 21207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
6811 CAMPFIELD RD
BALTIMORE, MD 21207
Family Medicine (Hospice and Palliative Medicine)
6811 CAMPFIELD RD
BALTIMORE, MD 21207
Assisted Living Facility
6811 CAMPFIELD RD
BALTIMORE, MD 21207
Internal Medicine
6811 CAMPFIELD RD
BALTIMORE, MD 21207

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 Augsburg Lutheran Home Of MD Inc's NPI number?

The NPI number for Augsburg Lutheran Home Of MD Inc is 1720085897. It was assigned to this organization in the NPPES registry on July 5, 2005.

Where is Augsburg Lutheran Home Of MD Inc located?

Augsburg Lutheran Home Of MD Inc is located at 6811 Campfield Rd, Baltimore, MD 21207. The listed phone number is (410) 486-4573.

What is Augsburg Lutheran Home Of MD Inc's specialty?

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

Does Augsburg Lutheran Home Of MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0217195) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Augsburg Lutheran Home Of MD Inc was last updated on October 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.