NPIMap

Organization Active NPI

Dennlyn Manor LLC

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1225936008
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DENNLYN MANOR LLC
Practice address
3405 Dennlyn Rd
Baltimore, MD 21215-7438
Phone
(443) 835-1612
Fax
(667) 200-0673
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Nicole Denise Johnson-Nesmith, RN BSN MSN DN/CM
Title
Alternate Assisted Living Manager
Phone
(443) 835-1612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3405 Dennlyn Rd
Baltimore, MD 21215-7438

Mailing address

3405 Dennlyn Rd
Baltimore, MD 21215-7438
Phone (443) 835-1612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1225936008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 DENNLYN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157438",
            "telephone_number": "443-835-1612",
            "fax_number": "667-200-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 DENNLYN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157438",
            "telephone_number": "443-835-1612",
            "fax_number": "667-200-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNLYN MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-NESMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ALTERNATE ASSISTED LIVING MANAGER",
        "authorized_official_telephone_number": "443-835-1612",
        "authorized_official_credential": "RN BSN MSN DN/CM"
    },
    "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 Oct 30, 2026; 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.