SOUTH MOUNTAIN OPERATOR LLC
NPI 1932628781
Skilled Nursing Facility in Boonsboro, MD
About South Mountain Operator Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH MOUNTAIN OPERATOR LLC (NPI 1932628781) is a healthcare organization registered as a skilled nursing facility in Boonsboro, Maryland and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Nathan Jakobovits, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 21D0884318
South Mountain Rehab Center · Boonsboro, MDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOONSBORO, MD 21713
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 South Mountain Operator LLC's NPI number?
The NPI number for South Mountain Operator LLC is 1932628781. It was assigned to this organization in the NPPES registry on September 13, 2017.
Where is South Mountain Operator LLC located?
South Mountain Operator LLC is located at 141 S Main St, Boonsboro, MD 21713. The listed phone number is (301) 432-5457.
What is South Mountain Operator LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does South Mountain Operator LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D0884318) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Mountain Operator LLC was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.