Courtney Cares Nursing Services, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R135698 Issued in MD

Legal business name

COURTNEY CARES NURSING SERVICES, LLC

Practice address

6600 York Rd
Suite 111
Baltimore, MD 21212-2028

Phone

(410) 372-3111

Fax

(410) 372-3131

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Jernaine Cooper, BSN

Title

RN

Phone

(410) 372-3111

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1093094583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 YORK RD",
            "address_2": "SUITE 111",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122028",
            "telephone_number": "410-372-3111",
            "fax_number": "410-372-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD",
            "address_2": "SUITE 111",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122028",
            "telephone_number": "410-372-3111",
            "fax_number": "410-372-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY CARES NURSING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JERNAINE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "410-372-3111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R135698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "616103100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300608500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nursing Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.