Pikesville Operator, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PIKESVILLE OPERATOR, LLC

Practice address

7 Sudbrook LN
Pikesville, MD 21208-4118

Phone

(410) 486-8771

Fax

(410) 484-3080

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Sam Stern

Title

Cfo

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other names 1

• Autumn Lake Healthcare at Pikesville Doing business as

Tax ID family

Autumn Lake Healthcare at Pikesville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pikesville Operator, LLC

  • Skilled Nursing Facility
  • Pikesville, MD
  • NPI 1811489511
  NPD tax ID

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1770050106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST STE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SUDBROOK LN",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084118",
            "telephone_number": "410-486-8771",
            "fax_number": "410-484-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKESVILLE OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Lake Healthcare at Pikesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sir Phillips
• Lisa Marie Piastrelli, PAC
• Pikesville Assisted Living, LLC
• Pikesville Health Services LLC
• Pikesville Medical Care
• Pikesville Operator, LLC
• Pikesville Optometry, LLC
• Pikesville Pharmacy LLC
• Kimberly Michelle Pinder
• Miguel A Pinder

• Skilled Nursing Facility in Pikesville, MD
• Providers in Pikesville, 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, 2018; 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.