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1942241815

NPI Code Detail

MEDICARE: NORTHAMPTON MANOR, INC.

MEDICARE: NORTHAMPTON MANOR, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	10-010	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5179670	OTHER		AETNA-NONHMO
3	02JT	OTHER		CAREFIRST - PROV INQ #
4	2133399	OTHER		UNITED - MAMSI
5	281224	OTHER		AMERIGROUP
6	RU4	OTHER		CAREFIRST - IND/PPO
7	RU4	OTHER		CAREFIRST - BLUECHOICE
8	3970027	OTHER		AETNA-HMO

General Provider Information

NPI Number	:	1942241815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHAMPTON MANOR, INC.

Provider Business Mailing Address
First Line	:	1710 UNDERPASS WAY
Second Line	:	SUITE 201
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-6924
Country	:	US
Telephone Number	:	301-745-8700
Fax Number	:	301-790-3094

Provider Business Practice Location Address
First Line	:	200 E 16TH ST
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21701-4400
Country	:	US
Telephone Number	:	301-662-8700
Fax Number	:	301-662-4045

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN P. PERINI
Credential	:
Telephone Number	:	301-745-8700

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	05/19/2022

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Directions to “NORTHAMPTON MANOR, INC. ” 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.

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