Northampton Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10-010 Issued in MD

Legal business name

NORTHAMPTON MANOR, INC.

Doing business as

Northampton Manor Health Care Center

Practice address

200 E 16TH St
Frederick, MD 21701-4400

Phone

(301) 662-8700

Fax

(301) 662-4045

NPI assigned

Jun 9, 2006

Last updated

May 19, 2022By 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

John P. Perini

Title

Vice President

Phone

(301) 745-8700

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Northampton Manor Health Care Center Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1942241815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 UNDERPASS WAY",
            "address_2": "SUITE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406924",
            "telephone_number": "301-745-8700",
            "fax_number": "301-790-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 16TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014400",
            "telephone_number": "301-662-8700",
            "fax_number": "301-662-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHAMPTON MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-745-8700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "10-010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST - IND/PPO",
            "identifier": "RU4",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-NONHMO",
            "identifier": "5179670",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST - BLUECHOICE",
            "identifier": "RU4",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST - PROV  INQ #",
            "identifier": "02JT",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10007900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "281224",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "3970027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED - MAMSI",
            "identifier": "2133399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northampton Manor Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.