Organization Active NPI

Candice Cares Assisted Living

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1083498992
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 22, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.