Active NPI
Candice Cares Assisted Living
- Assisted Living Facility
- Baltimore, MD
National Provider Identifier
1083498992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CANDICE CARES ASSISTED LIVING
- Practice address
- 111 S Monastery Ave
Baltimore, MD 21229-3635 - Phone
- (443) 629-8201
- NPI assigned
- Aug 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candice Watts
- Title
- Assisted Living Manager/Owner
- Phone
- (443) 629-8201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
111 S Monastery Ave
Baltimore, MD 21229-3635
Mailing address
111 S Monastery Ave
Baltimore, MD 21229-3635
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1083498992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S MONASTERY AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S MONASTERY AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293635",
"telephone_number": "443-629-8201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDICE CARES ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "CANDICE",
"authorized_official_title_or_position": "ASSISTED LIVING MANAGER/OWNER",
"authorized_official_telephone_number": "443-629-8201"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.