TRACIE SHIRRELLE GAMBRILL (NPI# 1922612563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922612563 |
| Entity Type | Individual |
| Full Name | TRACIE SHIRRELLE GAMBRILL |
| Practice Address |
3029 Windsor Ave Baltimore MD 21216-2751 |
| Practice Telephone | 4438982180 |
| Practice Fax Number | 4102253230 |
| Mailing Telephone | 4438982180 |
| Mailing Fax Number | 4102253230 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 30AL3873 | MD | Nursing & Custodial Care Facilities |
| Street Address |
3029 WINDSOR AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
| 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 |
| 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 |
| 1104390665 | Diorshay M Robinson | Assisted Living Facility | 1011 N Augusta Ave, Baltimore, MD 21229-1827 | 2019-01-17 |
| 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.