Ardleigh Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30003 Issued in MD

Legal business name

ARDLEIGH NURSING HOME INC

Doing business as

Alice Manor Nursing Home

Practice address

2095 Rockrose Ave
Baltimore, MD 21211-1328

Phone

(410) 889-9700

Fax

(410) 889-2691

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Miss Maria Valdenegro

Title

Business Office Manager

Phone

(410) 889-9700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alice Manor Nursing Home Doing business as

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1205896578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 ROCKROSE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111328",
            "telephone_number": "410-889-9700",
            "fax_number": "410-889-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 ROCKROSE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111328",
            "telephone_number": "410-889-9700",
            "fax_number": "410-889-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDLEIGH NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "VALDENEGRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "410-889-9700",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010300400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300087700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alice Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ard Behavioral Health
• Ard Behavioral Health
• Reena Ardeshna, M.D.
• Usha Ardeshna
• Patsy Ann Ardinger, CRNP
• Kaleb Kevin Ardoin, MD
• Abiy Abebe Aregawi, M.D
• Faith Olabisi Aregbesola, PMHNP-BC
• Sergio Arellano-Ayala, NP
• Joanne Marie Arellano, NP

• Skilled Nursing Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.