2700 South Haven Road Opco LLC
Organization Active NPI Skilled Nursing Facility · Annapolis, MD
NPI 1134878283 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1134878283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 2700 SOUTH HAVEN ROAD OPCO LLC
- Practice address
- 2700 Southaven Rd
Annapolis, MD 21401-7122 - Phone
- (410) 897-1300
- NPI assigned
- Mar 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Sam Stern
- Title
- Cfo
- Phone
- (877) 567-0402
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Yes | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2700 Southaven Rd
Annapolis, MD 21401-7122
Mailing address
14C 53Rd St
Brooklyn, NY 11232-2644
Phone (877) 567-0402
Other names
- Autumn Lake Healthcare at South Haven
Other providers in Annapolis, MD
- 35 Milkshake Lane Operations LLC
- 35 Milkshake Lane Operations LLC
- 35 Milkshake Opco LLC
- 3D Hearing, Inc.
- A la Mode, Inc.
All providers in Annapolis, MD · Skilled Nursing Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.