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

2700 South Haven Road Opco LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1134878283

2700 South Haven Road Opco LLC is a Nursing Facility/Intermediate Care Facility in Annapolis, Maryland. Registered with an NPI since 2022.

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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Practice location Address checks out

2700 Southaven Rd
Annapolis, MD 21401-7122
Phone: (410) 897-1300
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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 number1134878283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Stern — Cfo · (877) 567-0402
Other names Autumn Lake Healthcare At South Haven
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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