AUTUMN LAKE HEALTHCARE AT BRIDGEPARK
NPI 1831696509
Skilled Nursing Facility in Baltimore, MD

Active since April 10, 2018
4017 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21207(877) 567-0402(718) 567-0600 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2018, Apr 10, 2018 (2 updates tracked since 2018).

About Autumn Lake Healthcare At Bridgepark NPPES

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

AUTUMN LAKE HEALTHCARE AT BRIDGEPARK (NPI 1831696509) is a healthcare organization registered as a skilled nursing facility in Baltimore, Maryland and active in the NPI registry since April 2018. The organization lists Sam Stern, Cfo, as its authorized official.

NPPES Registry Identity

NPI1831696509
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRIDGEPARK OPERATIONS, LLC
Location Address4017 LIBERTY HEIGHTS AVEBaltimore, MD 21207-7545
Mailing Address14c 53rd St Ste 220Brooklyn, NY 11232-2644 · (718) 567-0400
Fax(718) 567-0600
Organization SubpartNo
Authorized OfficialSam SternCfo · (718) 567-0400
Enumeration DateApril 10, 2018
Last NPPES UpdateMay 4, 20182 updates tracked since enumeration
NPI 1831696509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedRespite CareTaxonomy 385H00000X
4017 LIBERTY HEIGHTS AVE, Baltimore, MD 21207

Other Names 1

Doing Business AsAutumn Lake Healthcare At Bridgepark

Other Providers at the Same Location NPPES 7

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

Skilled Nursing Facility
4017 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Skilled Nursing Facility
4017 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Skilled Nursing Facility
4017 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Nurse Practitioner
4017 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Optometrist
4017 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Internal Medicine (Nephrology)
4017 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Family Medicine (Hospice and Palliative Medicine)
4017 LIBERTY HEIGHTS AVE
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 Bridgepark Operations, LLC's NPI number?

The NPI number for Bridgepark Operations, LLC is 1831696509. It was assigned to this organization in the NPPES registry on April 10, 2018.

Where is Bridgepark Operations, LLC located?

Bridgepark Operations, LLC is located at 4017 Liberty Heights Ave, Baltimore, MD 21207. The listed phone number is (877) 567-0402.

What is Bridgepark Operations, 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 Bridgepark Operations, LLC was last updated on May 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.