Axis Health at Long View Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AXIS HEALTH AT LONG VIEW OPCO LLC

Practice address

3332 Main St
Manchester, MD 21102-1952

Phone

(410) 239-7139

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bent Philipson

Title

Member

Phone

(516) 869-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1649828625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PLEASANT RIDGE RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771609",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 MAIN ST",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021952",
            "telephone_number": "410-239-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HEALTH AT LONG VIEW OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "PHILIPSON",
        "authorized_official_first_name": "BENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-869-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3332 Main Street Opco LLC (Autumn Lake Healthcare at Long View)
• Laylo Abdurahmonova, DDS
• Adaptive Rehabilitation Services of Maryland LLC
• Lexy Armstrong
• Victor R Aybar, D.P.M.
• Lisa Bartell
• Bestcare Nurses, Inc. (Bestcare Adult Medical Daycare)
• Rachel Bosley, MSOT
• Bridginglife, Inc

• Skilled Nursing Facility in Manchester, MD
• Providers in Manchester, 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 Sep 3, 2019; 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.