AUTUMN LAKE HEALTHCARE AT BRIDGEPARK – NPI #1831696509
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 BRIDGEPARK is a skilled nursing facility (SNF) located in BALTIMORE, MD. NPPES has assigned the NPI number 1831696509 to AUTUMN LAKE HEALTHCARE AT BRIDGEPARK on April 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUTUMN LAKE HEALTHCARE AT BRIDGEPARK” is a dba name, the actual legal business name for this organization is BRIDGEPARK OPERATIONS, 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 8 years ago on May 04, 2018. 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 BRIDGEPARK below.

NPI Profile for
BRIDGEPARK OPERATIONS, LLC

NPI Number
1831696509
Enumeration Date

(more than 8 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
BRIDGEPARK OPERATIONS, LLC
Doing Business As (dba): AUTUMN LAKE HEALTHCARE AT BRIDGEPARK
Primary location
4017 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207-7545
Phone: (877) 567-0402 Fax: (718) 567-0600
Mailing address
14C 53RD ST STE 220
BROOKLYN, NY 11232-2644
Phone: (718) 567-0400 Fax:
Organization Subpart
No
Authorized Official
SAM STERN
CFO
Phone: (718) 567-0400
Updated
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)
MD
385H00000X
- Respite Care
MD

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.