7309 Second Avenue Opco LLC
NPI 1669118980ActiveOrganization· Skilled Nursing Facility· Sykesville, MD
Skilled Nursing Facility in Sykesville, Maryland, registered in NPPES in May 2022. The authorized official on file is Sam Stern, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1669118980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2022 |
| Last updated in NPPES | Aug 16, 2022 |
| Certified by provider | Jun 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — | — |
| Respite Care | 385H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MD) |
|---|
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