Maybrook-P Audubon Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAYBROOK-P AUDUBON OPCO, LLC

Doing business as

The Gardens at Lititz

Practice address

125 S Broad St
Lititz, PA 17543-1808

Phone

(717) 626-0211

NPI assigned

Mar 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ephram M Lahasky

Title

Member

Phone

(646) 772-3668

Specialties & licenses 1

Addresses

Other names 1

• The Gardens at Lititz Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1316308968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LORD AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BROAD ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431808",
            "telephone_number": "717-626-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBROOK-P AUDUBON OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-772-3668"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens at Lititz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina M Martin, PA-C
• Danielle Masland, RD
• Esther F Mast, CNM
• Matthew J. Link, O.D. LLC (Jacobson Eyecare)
• Emily Miranda May, CRNP
• Andrew C Mayfield, MSN, CRNP
• Michael R MC Allister, DO
• Rachael Lynn McCormack, M.ED., LAT, ATC, PES
• Kathryn McCormick, CNM
• Terri Ann McCormick, CNM

• Skilled Nursing Facility in Lititz, PA
• Providers in Lititz, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.