Organization
NORTHAMPTON MANOR, INC.
Active
Other names
Northampton Manor Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. PERINI (VICE PRESIDENT)
(301) 745-8700
Entity
Organization
Contact information
Practice address
200 E 16TH ST, FREDERICK, MD 21701-4400
(301) 662-8700
(301) 662-4045
Mailing address
1710 UNDERPASS WAY, SUITE 201, HAGERSTOWN, MD 21740-6924
(301) 745-8700
(301) 790-3094
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10-010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02JT
CAREFIRST - PROV INQ #
—
05
—
10007900
—
MD
01
—
2133399
UNITED - MAMSI
—
01
—
281224
AMERIGROUP
—
01
—
3970027
AETNA-HMO
—
01
—
5179670
AETNA-NONHMO
—
01
—
RU4
CAREFIRST - IND/PPO
—
Enumeration date
06/09/2006
Last updated
05/19/2022
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