BRIDGEPARK OPERATIONS, LLC


Address: 4017 Liberty Heights Ave, Baltimore, MD 21207-7545
Phone: 8775670402

BRIDGEPARK OPERATIONS, LLC (NPI# 1831696509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831696509
Entity Type Organization
Organization Name BRIDGEPARK OPERATIONS, LLC
Other Organization Name AUTUMN LAKE HEALTHCARE AT BRIDGEPARK
Practice Address 4017 Liberty Heights Ave
Baltimore
MD 21207-7545
Mailing Address 14c 53rd St Ste 220
Brooklyn
NY 11232-2644
Practice Telephone 8775670402
Practice Fax Number 7185670600
Mailing Telephone 7185670400
Enumeration Date 2018-04-10
Last Update Date 2018-05-04
Authorized Official Name SAM STERN (CFO)
Authorized Official Telephone 7185670400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 385H00000X Respite Care MD Respite Care Facility
Y 314000000X Skilled Nursing Facility MD Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Autumn Lake Healthcare at Bridgepark Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154896694 Bridgepark Operations, LLC Skilled Nursing Facility 4017 Liberty Heights Ave, Baltimore, MD 21207-7545 2018-10-11

Office Location

Street Address 4017 LIBERTY HEIGHTS AVE
City BALTIMORE
State MD
Zip Code 21207-7545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982641809 Thi of Maryland At Liberty Heights LLC Skilled Nursing Facility 4017 Liberty Heights Ave, Baltimore, MD 21207-7545 2006-05-31
1154896694 Bridgepark Operations, LLC Skilled Nursing Facility 4017 Liberty Heights Ave, Baltimore, MD 21207-7545 2018-10-11
1578740700 Liberty Leasing Co., LLC Skilled Nursing Facility 4017 Liberty Heights Ave, Baltimore, MD 21207-7545 2008-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821613373 Keys Development Ta Case Management 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 2020-06-10
1891328431 Day-by-day Healthcare LLC Home Health Aide 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 2020-02-21
1366005944 Lacey Murphy Social Worker 6201 Liberty Road, Baltimore, MD 21207 2019-04-18
1811453368 Pamela Powell Social Worker 5025 Dickey Hill Rd, Baltimore, MD 21207 2019-02-20
1568932176 Reflections Counseling & Consulting Community/Behavioral Health 6901 Brightway, Unit F, Gwynn Oak, MD 21207 2018-11-27
1255849394 Therapetic Wellness Services Community/Behavioral Health 4909 Liberty Heights Ave, Baltimore, MD 21207 2018-01-10
1922525252 Passionate Hands Transitional Housing Clinic/Center 4711 Liberty Heights Avenue, Baltimore, MD 21207 2017-08-28
1528427689 Stephen James Allen Occupational Therapy Assistant 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 2016-02-17
1255720439 Dawn James Counselor 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 2015-01-12
1407251168 Allcare International, Inc Day Training, Developmentally Disabled Services 3402 Milford Ave, Baltimore, MD 21207 2014-10-23
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City BALTIMORE
Zip Code 21207

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Dataset Information

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.

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