Axis Health at Frostburg Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AXIS HEALTH AT FROSTBURG OPCO LLC

Practice address

48 Tarn Ter
Frostburg, MD 21532-1242

Phone

(000) 000-0000

NPI assigned

Jan 2, 2020

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) 565-1900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1922647486",
    "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": "48 TARN TER",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321242",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HEALTH AT FROSTBURG OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "PHILIPSON",
        "authorized_official_first_name": "BENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-565-1900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aeon Technologies, LLC
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• Allegany Imaging, PC
• Caryn Lynn Amedee, MS, CRNP, FNP-C
• Assisted Living at Frostburg Village Facility Operations, LLC
• Jessica Lynn Aydelotte, M.S.CCC-SLP
• Harishwer Balasubramani
• Kelsey Bankes
• Jennifer L Barlow, CRNP
• Stephanie Bedal, APRN, PMHNP

• Skilled Nursing Facility in Frostburg, MD
• Providers in Frostburg, 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 Jan 2, 2020; 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.