1221 WAUGH CHAPEL OPCO LLC
NPI 1912583683
Skilled Nursing Facility in Gambrills, MD

Active since March 22, 2021
3/5
Overall Rating
1221 WAUGH CHAPEL RD, GAMBRILLS, MD 21054(877) 567-0402 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1221 Waugh Chapel Opco Llc NPPES

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

1221 WAUGH CHAPEL OPCO LLC (NPI 1912583683), doing business as Autumn Lake Healthcare At Waugh Chapel, is a healthcare organization registered as a skilled nursing facility in Gambrills, Maryland and active in the NPI registry since March 2021. The organization lists Sam Stern, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912583683
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1221 WAUGH CHAPEL OPCO LLC
Location Address1221 WAUGH CHAPEL RDGambrills, MD 21054-1608
Mailing Address14c 53rd StBrooklyn, NY 11232-2644
Organization SubpartNo
Authorized OfficialSam SternCfo · (877) 567-0402
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1912583683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedRespite CareTaxonomy 385H00000X
1221 WAUGH CHAPEL RD, Gambrills, MD 21054

Other Names 1

Doing Business AsAutumn Lake Healthcare At Waugh Chapel

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Autumn Lake Healthcare At Waugh Chapel (CMS certification number 215148), from CMS Care Compare.

Autumn Lake Healthcare At Waugh Chapel

Nursing home · Gambrills, MD
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number215148
Certified Beds110 beds99 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1983
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
46
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.84 · LPN 1.59 · RN 0.73
4.16 hrs per resident per day
Weekend Nurse Staffing
3.66 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 15

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

Occupational Therapy Assistant
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054
Physical Therapy Assistant
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054
Internal Medicine
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054
Occupational Therapist
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054
Occupational Therapy Assistant
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054
Nurse Practitioner
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054
Occupational Therapy Assistant
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054
Occupational Therapy Assistant
1221 WAUGH CHAPEL RD
GAMBRILLS, MD 21054

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 1221 Waugh Chapel Opco LLC's NPI number?

The NPI number for 1221 Waugh Chapel Opco LLC is 1912583683. It was assigned to this organization in the NPPES registry on March 22, 2021. The provider is doing business as Autumn Lake Healthcare at Waugh Chapel.

Where is 1221 Waugh Chapel Opco LLC located?

1221 Waugh Chapel Opco LLC is located at 1221 Waugh Chapel Rd, Gambrills, MD 21054. The listed phone number is (877) 567-0402.

What is 1221 Waugh Chapel Opco LLC's specialty?

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

Is 1221 Waugh Chapel Opco LLC a Medicare-certified nursing home?

Yes. Autumn Lake Healthcare At Waugh Chapel is a Medicare-certified nursing home with 110 certified beds.

What quality rating does 1221 Waugh Chapel Opco LLC have?

CMS rates Autumn Lake Healthcare At Waugh Chapel 3 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 1221 Waugh Chapel Opco LLC was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.