AUTUMN LAKE HEALTHCARE AT BIRCH MANOR – NPI #1669118980
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

AUTUMN LAKE HEALTHCARE AT BIRCH MANOR is a skilled nursing facility (SNF) located in SYKESVILLE, MD. NPPES has assigned the NPI number 1669118980 to AUTUMN LAKE HEALTHCARE AT BIRCH MANOR on May 10, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUTUMN LAKE HEALTHCARE AT BIRCH MANOR” is a dba name, the actual legal business name for this organization is 7309 SECOND AVENUE OPCO LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 4 years ago on Aug 16, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTUMN LAKE HEALTHCARE AT BIRCH MANOR below.

NPI Profile for
7309 SECOND AVENUE OPCO LLC

NPI Number
1669118980
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
7309 SECOND AVENUE OPCO LLC
Doing Business As (dba): AUTUMN LAKE HEALTHCARE AT BIRCH MANOR
Primary location
7309 2ND AVE
SYKESVILLE, MD 21784-7531
Phone: (410) 795-1100 Fax:
Mailing address
14C 53RD ST
BROOKLYN, NY 11232-2644
Phone: (877) 567-0402 Fax:
Organization Subpart
No
Authorized Official
SAM STERN
CFO
Phone: (877) 567-0402
Updated
Certification Date
Jun 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
385H00000X
- Respite Care
313M00000X
- Nursing Facility/Intermediate Care Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.