OrganizationActive
115 East Melrose Avenue Operations LLC
NPI 1487836953 · Skilled Nursing Facility · Baltimore, MD
Provider details
- NPI number
- 1487836953
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 30-044 (MD)
Practice location
115 E Melrose Ave
Baltimore, MD 21212-2945
Phone: (410) 435-9073
Fax: (410) 435-6824
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2016-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.