Augsburg Lutheran Home of MD Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03-003 Issued in MD

Legal business name

AUGSBURG LUTHERAN HOME OF MD INC

Practice address

6811 Campfield Rd
Baltimore, MD 21207-4657

Phone

(410) 486-4573

Fax

(410) 653-8744

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Jerome David Potter

Title

Information Systems Manager

Phone

(443) 471-1004

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1720085897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 CAMPFIELD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074657",
            "telephone_number": "410-486-4573",
            "fax_number": "410-653-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 CAMPFIELD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074657",
            "telephone_number": "410-486-4573",
            "fax_number": "410-653-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGSBURG LUTHERAN HOME OF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "INFORMATION SYSTEMS MANAGER",
        "authorized_official_telephone_number": "443-471-1004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "71-00455",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032087100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Shea Auerhan, M.S. , CCC-SLP
• Ashley Auffarth, CRNP
• Brenda Auffinger, MD
• Abigail Aughenbaugh
• Michael Robert Aughenbaugh, MD
• Mary Christina Augustin
• Odolphe Augustin, DO, MPH
• Stanley Augustin
• Bryce Augustine
• Sharae Augustine

• Skilled Nursing Facility in Baltimore, MD
• Providers in Baltimore, 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 Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.