MEDICARE: ARLINGTON WEST CARE CENTER OPCO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	313M00000X	Nursing Facility/Intermediate Care Facility
2	385H00000X	Respite Care
3	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1639649312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON WEST CARE CENTER OPCO LLC

Provider Business Mailing Address
First Line	:	14C 53RD ST STE 220
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-2644
Country	:	US
Telephone Number	:	877-567-0402
Fax Number	:

Provider Business Practice Location Address
First Line	:	3939 PENHURST AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5632
Country	:	US
Telephone Number	:	410-664-9535
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	SAM STERN
Credential	:
Telephone Number	:	877-567-0402

Provider Enumeration Date	:	11/26/2018
Last Update Date	:	02/06/2020

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1265436885 — HAVEN NURSING HOME, INC
Practice Location Address:

3939 PENHURST AVE
BALTIMORE, MD
21215-5632

Practice Phone: 410-664-9535
Practice Fax: 410-664-0806

1992898407 — MR. TERRELL TRENT OTR/L
Practice Location Address:

3939 PENHURST AVE
BALTIMORE, MD
21215-5632

Practice Phone: 202-409-9895
Practice Fax:

1255789491 — HAVEN NURSING HOME, INC
Practice Location Address:

3939 PENHURST AVE
BALTIMORE, MD
21215-5632

Practice Phone: 410-664-9535
Practice Fax:

Directions to “ARLINGTON WEST CARE CENTER OPCO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.