BALTIMORE SENIOR LIVING LIVING (NPI# 1689896714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689896714 |
| Entity Type | Organization |
| Organization Name | BALTIMORE SENIOR LIVING LIVING |
| Other Organization Name | EMERALD ESTATES |
| Practice Address |
3855 Greenspring Avenue Baltimore MD 21211 |
| Mailing Address |
3723 Fairview Industrial Dr Se Suite 270 Salem OR 97302 |
| Practice Telephone | 4102259337 |
| Mailing Telephone | 5034854600 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON HARDER (MANAGER) |
| Authorized Official Telephone | 5034854600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Emerald Estates | Doing Business As Name - Organization |
| Street Address |
3855 GREENSPRING AVENUE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486032 | Comfort At Home Care, LLC | Assisted Living Facility | 4628 Marble Hall Rd, Baltimore, MD 21239-3937 | 2020-10-27 |
| 1740896182 | M&o Prestige Partnership LLC | Assisted Living Facility | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 |
| 1922612563 | Tracie Shirrelle Gambrill | Assisted Living Facility | 3029 Windsor Ave, Baltimore, MD 21216-2751 | 2020-09-01 |
| 1952920191 | Sheila's Place Assisted Living | Assisted Living Facility | 5813 Eurith Ave, Baltimore, MD 21206-2736 | 2020-04-08 |
| 1609403955 | Ashley Tonique Thompson | Assisted Living Facility | 952 Harlem Ave, Baltimore, MD 21217-2423 | 2020-03-26 |
| 1487285631 | Aim To Inspire Assisted Living LLC | Assisted Living Facility | 1329 N Caroline St, Baltimore, MD 21213-2819 | 2020-01-27 |
| 1932739927 | Greater Glory Assisted Living | Assisted Living Facility | 3414 Menlo Dr, Baltimore, MD 21215-3828 | 2020-01-19 |
| 1639716723 | Olive Living Assisted Living LLC | Assisted Living Facility | 4802 Wendel Ave, Baltimore, MD 21206-3300 | 2019-12-08 |
| 1962055798 | Amber Yates | Assisted Living Facility | 1210 Edison Hwy, Baltimore, MD 21213-4005 | 2019-07-21 |
| 1316509524 | New Hope Assisted Living LLC | Assisted Living Facility | 5502 Seward Ave, Baltimore, MD 21206-4424 | 2019-07-08 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.