3415 Greencastle Road Opco LLC
NPI 1003552480 · Skilled Nursing Facility · Burtonsville, MD
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
3415 Greencastle Road Opco LLC is a Skilled Nursing Facility organization in Burtonsville, MD (NPI 1003552480).
Provider details
- NPI number
- 1003552480
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Stern, Cfo(877) 567-0402
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Autumn Lake Healthcare at Oak Manor
- Doing business as
- Autumn Lake Healthcare at Oak Manor
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2022-09-07
- Certified
- 2022-09-07
Frequently asked questions
- What is 3415 Greencastle Road Opco LLC's NPI number?
- 3415 Greencastle Road Opco LLC's National Provider Identifier (NPI) is 1003552480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 3415 Greencastle Road Opco LLC?
- 3415 Greencastle Road Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 3415 Greencastle Road Opco LLC located?
- 3415 Greencastle Road Opco LLC's practice location on file with NPPES is 3415 Greencastle Rd, Burtonsville, MD 20866-1715.
- What is 3415 Greencastle Road Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 3415 Greencastle Road Opco LLC is (240) 970-5600.
- Does 3415 Greencastle Road Opco LLC accept Medicare?
- 3415 Greencastle Road Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 3415 Greencastle Road Opco LLC?
- The authorized official listed on 3415 Greencastle Road Opco LLC's NPPES record is Sam Stern, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 3415 Greencastle Road Opco LLC's NPI active?
- Yes — 3415 Greencastle Road Opco LLC's NPI (1003552480) is active in the NPPES registry as of the last update on 2022-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.