Augsburg Lutheran Home Of Md Inc

LBN: Augsburg Lutheran Home Of Md Inc
Augsburg Lutheran Home Of Md Inc is an health care organization with primary practice located at 6811 Campfield Rd , Baltimore MD 21207-4657. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Augsburg Lutheran Home Of Md Inc can be contacted via phone (410) 486-4573, or through Potter, Jerome David via phone (443) 471-1004.

Contact Information

Primary practice address
6811 Campfield Rd Baltimore MD 21207-4657
Phone: (410) 486-4573
Fax: (410) 653-8744
Website:
Map and Directions
Authorized official contact:
Name: Potter, Jerome David
Phone: (443) 471-1004

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 03-003 Maryland

Profile Details

NPI number 1720085897
LBN Legal business name Augsburg Lutheran Home Of Md Inc
DBA Doing business as
Authorized official Potter, Jerome David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 24th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720085897 NPPES
Maryland Other 71-00455 EVERCARE
Maryland MEDICAID 032087100 EVERCARE

Popular Providers