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

6012 Jefferson Boulevard Opco LLC

Organization Skilled Nursing Facility · NPI 1952024176

6012 Jefferson Boulevard Opco LLC is a Skilled Nursing Facility in Frederick, Maryland. Registered with an NPI since 2022.

In the registry since
2022
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

6012 Jefferson Blvd
Frederick, MD 21703-6953
Phone: (732) 358-6883
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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

Record details

NPI number1952024176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Stern — Cfo · (877) 567-0402
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022
Mailing address14c 53rd St, Brooklyn, NY 11232-2644

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