AURORA SENIOR LIVING OF MANOKIN, LLC (NPI# 1366720088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366720088 |
| Entity Type | Organization |
| Organization Name | AURORA SENIOR LIVING OF MANOKIN, LLC |
| Practice Address |
11974 Edgehill Terrace Rd Princess Anne MD 21853-2105 |
| Practice Telephone | 4105434697 |
| Practice Fax Number | 4105434471 |
| Mailing Telephone | 4105434697 |
| Mailing Fax Number | 4105434471 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |
| Authorized Official Name | MRS. CHRISTINE OWENS (DIRECTOR, REIMBURSEMENT) |
| Authorized Official Telephone | 4107298406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AURORA SENIOR LIVING OF MANOKIN, LLC | 11974 Edgehill Ter, Princess Anne, MD 21853-2105 |
| Street Address |
11974 EDGEHILL TERRACE RD |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790795672 | Hermitage Healthcare of Manokin Manor, LLC | Skilled Nursing Facility | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2006-08-09 |
| 1023652757 | Marie T Swartz | Physical Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-11-06 |
| 1275181257 | Axis Health At Manokin Opco LLC | Skilled Nursing Facility | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-09-03 |
| 1851857809 | Lorraine Prosser Elliott | Occupational Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-02-14 |
| 1770049876 | April Jane Gumatas Corros | Physical Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-02-13 |
| 1134658107 | Clifford Francis Rideout IIi | Physical Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2017-06-05 |
| 1730467309 | Cassandra Joy Eck | Speech-Language Pathologist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2011-07-29 |
| 1962791442 | Gregorio M. Belloso M.d. P.a. | Family Medicine | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| 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 |
|---|---|---|---|---|
| 1275181257 | Axis Health At Manokin Opco LLC | Skilled Nursing Facility | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073623 | Home Care Solutions LLC | Skilled Nursing Facility | 620 Sanders Ln, Oakland, MD 21550-7773 | 2019-03-20 |
| 1972016905 | Prince Georges Post Acute LLC | Skilled Nursing Facility | 1051 Brightseat Road, Landover, MD 20785 | 2017-11-13 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1518493774 | Bea's Hive Assisted Living | Skilled Nursing Facility | 3014 Nightside Drive, Upper Marlboro, MD 20774 | 2017-05-10 |
| 1417490277 | Grace Compassionate Health Care | Skilled Nursing Facility | 113 River Forest Ln, Ft Washington, MD 20744-6240 | 2016-11-28 |
| 1447705967 | Sarah Lorraine Bensinger | Skilled Nursing Facility | 9 N Summit Dr Apt 202, Gaithersburg, MD 20877-3056 | 2016-08-25 |
| 1578927489 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 North Point Rd, Baltimore, MD 21224-3307 | 2016-04-06 |
| 1578927588 | Pineview Extended Care Centre, Inc. | Skilled Nursing Facility | 9016 Pine View Lane, Clinton, MD 20735-3229 | 2016-04-06 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1881063154 | Supplemental Health | Skilled Nursing Facility | 1292 Limit Ave, Idlewylde, MD 21239-1747 | 2015-09-17 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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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.