Active NPI
Lorien Taneytown, Inc
- Skilled Nursing Facility
- Taneytown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 06022
- Legal business name
- LORIEN TANEYTOWN, INC
- Practice address
- 100 Antrim Blvd
Taneytown, MD 21787-2277 - Phone
- (410) 756-5884
- Fax
- (410) 756-5894
- NPI assigned
- Aug 9, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Louis G Grimmel
- Title
- Ceo
- Phone
- (410) 750-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 06022 | MD | Primary |
Addresses
Primary practice location
100 Antrim Blvd
Taneytown, MD 21787-2277
Mailing address
100 Antrim Blvd
Taneytown, MD 21787-2277
Phone (410) 756-5884
Other names 1
- Lorien Taneytown Nursing & Rehabilitation Center Taneytown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040806000685 | MD | Part A Provider - Skilled Nursing Facility | 0042282428 | Practice locations: Taneytown, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831190271. Details of each certification follow.
Skilled nursing facility certification: CCN 215348
- Legal name
- LORIEN TANEYTOWN, INC
- Doing business as
- LORIEN TANEYTOWN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 27, 2004
- Last certification
- Jul 19, 2022
- Beds
- 63
- Ownership / control type
- Corporation
- Multi-facility organization
- Maryland Health Enterprise
- Organization structure
- Corporation
- Incorporated
- Mar 9, 2004 in MD
- Enrollment address
- 100 Antrim Blvd
Lorien Taneytown
Taneytown, MD 21787-2277 - Nursing home name
- LORIEN TANEYTOWN, INC
- Affiliated entity
- LORIEN HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lorien Taneytown, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 27, 2004
- Medicare certification status
- Active
- Certified beds
- 63
- Chain
- Lorien Health Services
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1031236 | Lorien Nursing & Rehabilitation Center-Taneytown | Certificate of waiver | Sep 26, 2026 |
| 21D2074992 | Lorien Taneytown Inc Dba Lorien Taneytown Assisted | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nicholas Mangione | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Joanne Mangione | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Peter Mangione | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Frances O'Keefe | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Louis Mangione | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Corporate Officer | Oct 18, 2004 | ||
| Corporate Director | Oct 18, 2004 | ||
| Samuel Mangione | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Michele M Collison | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Maryland Health Enterprises, Inc. | Operational/Managerial Control | Apr 1, 2006 | |
| John Mangione | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Corporate Officer | Oct 18, 2004 | ||
| Corporate Director | Oct 18, 2004 | ||
| Louis Grimmel | Corporate Officer | Oct 18, 2004 | |
| Corporate Director | Oct 18, 2004 | ||
| Rosemary Juras | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Corporate Officer | Oct 18, 2004 | ||
| Corporate Director | Oct 18, 2004 | ||
| Linda Licata | 5% Or Greater Direct Ownership Interest | Oct 18, 2004 | 10% |
| Corporate Officer | Oct 18, 2004 | ||
| Corporate Director | Oct 18, 2004 | ||
| Bernadette Beard | W-2 Managing Employee | Jan 1, 2017 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Mount Airy, MD
- NPI 1548261803
Maryland Health Enterprises, Inc.
-
- Skilled Nursing Facility
- Columbia, MD
- NPI 1134120439
Maryland Health Enterprises, Inc.
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1477658045
-
- Internal Medicine Physician
- Westminster, MD
- NPI 1417168675
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1255376539
-
- Geriatric Medicine (Internal Medicine) Physician
- Harrisburg, PA
- NPI 1144556846
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Westminster, MD
- NPI 1417168675
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Harrisburg, PA
- NPI 1144556846
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831190271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ANTRIM BLVD",
"city": "TANEYTOWN",
"state": "MD",
"postal_code": "217872277",
"telephone_number": "410-756-5884",
"fax_number": "410-756-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ANTRIM BLVD",
"city": "TANEYTOWN",
"state": "MD",
"postal_code": "217872277",
"telephone_number": "410-756-5884",
"fax_number": "410-756-5894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORIEN TANEYTOWN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRIMMEL",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-750-7500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "06022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lorien Taneytown Nursing & Rehabilitation Center Taneytown",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Taneytown, MD
- Emily Kendall Jones, LCPAT, LCPC
- Kennies Market Inc (Kennie's Pharmacy)
- Kevin J. Brewster, D.O. LLC
- Katlyn Krietz, LMSW
- William Robert Linthicum, M.D.
- Breanna Malebranche
- Manchester Drugs Inc (Taneytown Pharmacy)
- Maryland CVS Pharmacy LLC (CVS Pharmacy #04170)
- Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy of Maryland)
- Michelle Renae McGee, MS, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.