Holbrock Estates at the Martin de Porres Center LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

HOLBROCK ESTATES AT THE MARTIN DE PORRES CENTER LLC

Practice address

908 Valley St
Baltimore, MD 21202-5460

Phone

(443) 708-5056

NPI assigned

Mar 27, 2022

Organization subpart

No

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

Authorized official

Name

Vernon Holmes Jr.

Title

Ceo

Phone

(437) 085-0564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648339200000",
    "number": "1093465577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244108",
            "telephone_number": "443-708-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 VALLEY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025460",
            "telephone_number": "443-708-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROCK ESTATES AT THE MARTIN DE PORRES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "437-085-0564",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay D Holbein
• Holbrock Estates at 1620 Druid Hill Avenue LLC
• Holbrock Estates at 1638 Ruxton Avenue LLC
• Holbrock Estates at 3021 Garrison Boulevard LLC
• Holbrock Estates at 809 N Rose Street LLC
• Diamond Holbrook
• Justin Robert Holbrook, MD
• Lindsey Richelle Holbrook, PHD
• Teri J Holbrook, CPNP
• Tracy Holcomb, RN

• Assisted Living Facility (Mental Illness) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Assisted Living Facility (Mental Illness) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; 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.