Organization Active NPI

Lorien Life Center Harford II, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Havre de Grace, MD
National Provider Identifier
1376889121
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
LORIEN LIFE CENTER HARFORD II, INC.
Practice address
1501 Blenheim Farm Lane
Havre de Grace, MD 21078
Phone
(410) 750-7500
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Mr. Louis G. Grimmel Sr.
Title
Vice President
Phone
(410) 750-7500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

1501 Blenheim Farm Lane
Havre de Grace, MD 21078

Mailing address

1501 Blenheim Farm Lane
Havre de Grace, MD 21078

Other names 1

  • Lorien Bulle Rock Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000077 MD Part A Provider - Skilled Nursing Facility 0244475796 Practice locations: Havre de Grace, MD

Skilled nursing facility certification: CCN 215359

Legal name
LORIEN LIFE CENTER HARFORD II INC
Doing business as
LORIEN BULLE ROCK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 5, 2013
Last certification
Jun 28, 2022
Beds
78
Ownership / control type
Corporation
Multi-facility organization
Lorien Health Services
Organization structure
CorporationProprietary
Enrollment address
1501 Blenhiem Farm LN
Havre de Grace, MD 21078-2047
Nursing home name
LORIEN BULLE ROCK
Affiliated entity
LORIEN HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lorien Bulle RockCCN 215359
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 5, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7871.1 residents per day on average
Chain
Lorien Health Services8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2056878Lorien Life Center Harford II, Inc1501 Blenheim Farm Lane, Havre de Grace, MD 21078Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nicholas Mangione Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Joanne Mangione Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Elissa Heck Individual W-2 Managing EmployeeAdministrator Apr 27, 2018
Peter Mangione Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Frances O'Keefe Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Louis Mangione Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Corporate OfficerPresident & Board Member Dec 17, 1998
Samuel Mangione Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Michele M Collison Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
John Mangione Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Corporate OfficerVice President and Board Member Nov 28, 2012
Louis Grimmel Individual Corporate OfficerVice President & Board Member Dec 27, 1998
Rosemary Juras Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998
Corporate OfficerVice President & Board Member Jan 1, 2003
Linda Licata Individual 5% Or Greater Direct Ownership Interest Dec 17, 1998 10%
Corporate OfficerSecretary/Treasurer and Board Me Dec 17, 1998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1376889121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BLENHEIM FARM LANE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BLENHEIM FARM LANE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-750-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIEN LIFE CENTER HARFORD II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "GRIMMEL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-750-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorien Bulle Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.