Organization Active NPI

Mercy Ridge, Inc

  • Assisted Living Facility
  • Timonium, MD
National Provider Identifier
1083987416
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
03AL694-H Issued in MD
Legal business name
MERCY RIDGE, INC
Practice address
2525 Pot Spring Rd
Timonium, MD 21093-2778
Phone
(410) 561-0200
Fax
(410) 561-0400
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Ms. Constance Marie Smith, RN
Title
Director
Phone
(410) 308-9486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 03AL694-H MD Primary

Addresses

Primary practice location

2525 Pot Spring Rd
Timonium, MD 21093-2778

Mailing address

2525 Pot Spring Rd
Timonium, MD 21093-2778
Phone (410) 561-0200

National Provider Directory

National Provider Directory

Locations

2525 Pot Spring Rd
Timonium, MD 21093
Phone (410) 308-9702

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1083987416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 POT SPRING RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932778",
            "telephone_number": "410-561-0200",
            "fax_number": "410-561-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 POT SPRING RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932778",
            "telephone_number": "410-561-0200",
            "fax_number": "410-561-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY RIDGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-308-9486",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "03AL694-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.