ALICE OPERATOR LLC (NPI# 1720494313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720494313 |
| Entity Type | Organization |
| Organization Name | ALICE OPERATOR LLC |
| Other Organization Name | AUTUMN LAKE HEALTHCARE AT ALICE MANOR |
| Practice Address |
2095 Rockrose Ave Baltimore MD 21211-1328 |
| Mailing Address |
4260 Route 9 Howell NJ 07731-3351 |
| Practice Telephone | 4108899700 |
| Mailing Telephone | 7323586883 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | MR. ARYEH STERN (MEMBER) |
| Authorized Official Telephone | 7323586883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Autumn Lake Healthcare At Alice Manor | Doing Business As Name - Organization |
| Street Address |
2095 ROCKROSE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205896578 | Ardleigh Nursing Home Inc | Skilled Nursing Facility | 2095 Rockrose Ave, Baltimore, MD 21211-1328 | 2006-03-23 |
| 1730725474 | Prasanna Paranjape | Occupational Therapist | 2095 Rockrose Ave, Baltimore, MD 21211-1328 | 2019-11-18 |
| 1699031153 | Christine Barrett | Speech-Language Pathologist | 2095 Rockrose Ave, Baltimore, MD 21211-1328 | 2012-04-09 |
| 1679717631 | Lisa Laverne Mitchell-wade | Speech-Language Pathologist | 2095 Rockrose Ave, Baltimore, MD 21211-1328 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578927489 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 North Point Rd, Baltimore, MD 21224-3307 | 2016-04-06 |
| 1851770374 | Celia Alicia Akossiwa Essi Yovo | Skilled Nursing Facility | 4821 Belair Rd, Baltimore, MD 21206-5731 | 2015-05-29 |
| 1740555986 | Nissim S Rakhminov | Skilled Nursing Facility | 6716 Old Pimlico Rd, Baltimore, MD 21209-1612 | 2012-03-21 |
| 1962790717 | Blue Point Snf LLC | Skilled Nursing Facility | 2525 West Belvedere Ave, Baltimore, MD 21215 | 2011-07-14 |
| 1396044608 | Acc Green House Residences, Inc | Skilled Nursing Facility | 1010 E 33rd St, Baltimore, MD 21218-3636 | 2011-03-25 |
| 1811294226 | Mercy Villa Convent, Inc. | Skilled Nursing Facility | 6806 Bellona Ave, Baltimore, MD 21212-1219 | 2011-02-21 |
| 1972785004 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 Old Northpoint Rd, Baltimore, MD 21224-3307 | 2007-11-30 |
| 1831310143 | The Wesley | Skilled Nursing Facility | 2211 W Rogers Ave, Baltimore, MD 21209-4424 | 2007-05-02 |
| 1760543367 | Aslc Opco Md I, LLC | Skilled Nursing Facility | 1300 Windlass Dr, Baltimore, MD 21220-4126 | 2006-12-13 |
| 1417045691 | Rock Glen Healthcare, Inc. | Skilled Nursing Facility | 10 N Rock Glen Rd, Baltimore, MD 21229-3250 | 2006-10-11 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.