Organization Active NPI

Mink Hill Home, Inc.

  • Assisted Living Facility
  • Grasonville, MD
National Provider Identifier
1043478506
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
17AL026-D Issued in MD
Legal business name
MINK HILL HOME, INC.
Practice address
112 Collier Rd
Grasonville, MD 21638-1200
Phone
(410) 827-6098
Fax
(410) 827-0067
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mrs. Carmen L. Horney
Title
Vice President
Phone
(410) 827-6098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 17AL026-D MD Primary

Addresses

Primary practice location

112 Collier Rd
Grasonville, MD 21638-1200

Mailing address

112 Collier Rd
Grasonville, MD 21638-1200
Phone (410) 827-6098

National Provider Directory

National Provider Directory

Locations

112 Collier Rd
Grasonville, MD 21638
Phone (410) 827-6098

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1043478506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLLIER RD",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381200",
            "telephone_number": "410-827-6098",
            "fax_number": "410-827-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLLIER RD",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381200",
            "telephone_number": "410-827-6098",
            "fax_number": "410-827-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINK HILL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "HORNEY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-827-6098",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "17AL026-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grasonville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.