Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1502 Frederick Road Opco LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1184373250

1502 Frederick Road Opco LLC is a Nursing Facility/Intermediate Care Facility in Catonsville, Maryland. Medicare rates this nursing home 3 out of 5. Registered with an NPI since 2022.

CMS rating
3 of 5
In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official nursing home rating from CMS Care Compare (CCN 215326)
Health inspection2.0 / 5
Staffing2.0 / 5
Quality measures5.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1502 Frederick Rd
Catonsville, MD 21228-5019
Phone: (410) 747-3287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1184373250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Stern — Cfo · (877) 567-0402
Other names Autumn Lake Healthcare At Summit Park
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address14c 53rd St, Brooklyn, NY 11232-2644

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