AUTUMN LAKE HEALTHCARE AT DENTON
NPI 1649762337
Skilled Nursing Facility in Denton, MD

NPI Status: Active since May 30, 2018

Contact Information

420 COLONIAL DR
DENTON, MD
ZIP 21629
Phone: (410) 479-4400

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  • Organization
  • Skilled Nursing Facility

About AUTUMN LAKE HEALTHCARE AT DENTON

This page provides the complete NPI Profile along with additional information for Autumn Lake Healthcare At Denton, a provider established in Denton, Maryland operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1649762337 assigned on May 2018. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Autumn Lake Healthcare At Denton. The authorized official of this NPI record is Sam Stern (Cfo)

NPI
1649762337
Provider Legal Name
DENTON OPERATOR, LLC
Other Organization Name
AUTUMN LAKE HEALTHCARE AT DENTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
420 COLONIAL DR DENTON, MD 21629
Location Phone
(410) 479-4400
Mailing Address
14C 53RD ST BROOKLYN, NY 11232
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2018
Last Update Date
05-30-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License State
MD
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1385H00000XRespite Care Facility

Respite Care

(MD)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAM STERN

Authorized Official Title
CFO
Authorized Official Phone
(718) 567-0400

Reviews for AUTUMN LAKE HEALTHCARE AT DENTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649762337
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689146436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 4 + 6 + 4 + 3 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1649762337 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861518219 MARY ANN REIHL OTR
Individual
Occupational Therapist420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1851417109 CHRISTY LEE THOMPSON M.P.T.
Individual
Physical Therapist420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1669598918MRS. JESSICA LITTEN TYNDALL OTR
Individual
Occupational Therapist420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1144473273ENVOY OF DENTON, LLC
Organization
Skilled Nursing Facility420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1578925053MS. DANIELLE STEWART
Individual
Speech-Language Pathologist420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1962501262 MELISSA MAY KREMPASKY M.S. CCC-SLP
Individual
Speech-Language Pathologist420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1295275105BRINTON WOODS OF DENTON, LLC
Organization
Skilled Nursing Facility420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1396286811BRINTON WOODS OF DENTON, LLC
Organization
Skilled Nursing Facility420 COLONIAL DR
DENTON, MD 21629
(410) 479-4000
1295703163 PAULETTE J BRAUER
Individual
Nurse Practitioner (Family)420 COLONIAL DR
DENTON, MD 21629
(410) 548-2343
1326513854DENTON OPERATOR, LLC
Organization
Skilled Nursing Facility420 COLONIAL DR
DENTON, MD 21629
(718) 567-0400
1093289159 AARON MALECKI
Individual
Physical Therapy Assistant420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1295360097DENTON MD OPCO LLC
Organization
Skilled Nursing Facility420 COLONIAL DR
DENTON, MD 21629
(410) 497-4400
1174547582RUXTON HEALTH CARE IV, LLC
Organization
Skilled Nursing Facility420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1457076754DENTON NURSING AND REHAB, LLC
Organization
Skilled Nursing Facility420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400
1316639768NU PATHWAY HEALTHCARE AND WELLNESS LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)420 COLONIAL DR
DENTON, MD 21629
(301) 321-7741
1558109025COMPREHENSIVE REHAB CONSULTANTS PLLC
Organization
Physical Medicine & Rehabilitation420 COLONIAL DR
DENTON, MD 21629
(410) 479-4400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649762337, enumerated in the NPI registry as an "organization" on May 30, 2018

The provider is located at 420 Colonial Dr Denton, Md 21629 and the phone number is (410) 479-4400

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on May 30, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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