6012 Jefferson Boulevard Opco LLC
NPI 1952024176ActiveOrganization· Skilled Nursing Facility· Frederick, MD
Skilled Nursing Facility in Frederick, Maryland, registered in NPPES in September 2022. The authorized official on file is Sam Stern, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1952024176 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2022 |
| Last updated in NPPES | Sep 22, 2022 |
| Certified by provider | Sep 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
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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