NPIMap

Organization Active NPI

Angel Core Home of Care LLC

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1013625771
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANGEL CORE HOME OF CARE LLC
Practice address
4304 Parkmont Ave
Baltimore, MD 21206-2634
Phone
(443) 416-3571
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marquita Holmes
Title
Manager
Phone
(410) 456-8347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

4304 Parkmont Ave
Baltimore, MD 21206-2634

Mailing address

4304 Parkmont Ave
Baltimore, MD 21206-2634
Phone (443) 416-3571

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.angelcoreassistedliving.com
Other URL 4104837014 Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1013625771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 PARKMONT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062634",
            "telephone_number": "443-416-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 PARKMONT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062634",
            "telephone_number": "443-416-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CORE HOME OF CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-456-8347"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.angelcoreassistedliving.com",
            "affiliation": "N",
            "address_1": "4304 Parkmont Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212062634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4104837014",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4304 Parkmont Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212062634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.