Aurora Senior Living of Manokin, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AURORA SENIOR LIVING OF MANOKIN, LLC

Practice address

11974 Edgehill Terrace Rd
Princess Anne, MD 21853-2105

Phone

(410) 543-4697

Fax

(410) 543-4471

NPI assigned

Jul 29, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Owens

Title

Director, Reimbursement

Phone

(410) 729-8406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1366720088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11974 EDGEHILL TERRACE RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532105",
            "telephone_number": "410-543-4697",
            "fax_number": "410-543-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11974 EDGEHILL TERRACE RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532105",
            "telephone_number": "410-543-4697",
            "fax_number": "410-543-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA SENIOR LIVING OF MANOKIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "410-729-8406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasim Amir
• Deborah Lynn Anderson, CRNP
• Matthew Anderson, DDS
• Maya Armstrong, PA-C
• Kwame Asumadu, DDS
• Axis Health at Manokin Opco LLC
• Ganiyat Halle Badmus, LCSW-C
• Wasiu Badmus
• Donna Lynn Baer, RDH
• Karen Marie Baer

• Skilled Nursing Facility in Princess Anne, MD
• Providers in Princess Anne, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.