Autumn Lake Healthcare At Long View

LBN: 3332 Main Street Opco Llc
Autumn Lake Healthcare At Long View is an health care organization with primary practice located at 3332 Main St , Manchester MD 21102-1952. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. 3332 Main Street Opco Llc can be contacted via phone (410) 239-7139, or through Stern, Sam via phone (877) 567-0402.

Contact Information

Primary practice address
3332 Main St Manchester MD 21102-1952
Phone: (410) 239-7139
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stern, Sam
Phone: (877) 567-0402

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1952047326
LBN Legal business name 3332 Main Street Opco Llc
DBA Doing business as Autumn Lake Healthcare At Long View
Authorized official Stern, Sam
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2022
Last updated Aug 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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