Organization Active NPI

Maryland Intergenerational Health Care

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1245822022
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARYLAND INTERGENERATIONAL HEALTH CARE
Practice address
814 Primson Ave
Baltimore, MD 21229-4604
Phone
(410) 375-1491
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Lydia Hammond
Title
Compliance Manager
Phone
(410) 375-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

814 Primson Ave
Baltimore, MD 21229-4604

Mailing address

814 Primson Ave
Baltimore, MD 21229-4604
Phone (410) 375-1491

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mihealthcareagency@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1245822022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PRIMSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294604",
            "telephone_number": "410-375-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 PRIMSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294604",
            "telephone_number": "410-375-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND INTERGENERATIONAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "410-375-1491"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mihealthcareagency@gmail.com",
            "affiliation": "N",
            "address_1": "814 Primson Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212294604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 3, 2021; 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.