Tmdeedllc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

TMDEEDLLC

Practice address

4815 Old Court Rd
Randallstown, MD 21133-4626

Phone

(410) 805-9715

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Monroke Olubukola Eko

Title

Ceo

Phone

(410) 805-9715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1255006136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334626",
            "telephone_number": "410-805-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334626",
            "telephone_number": "410-805-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMDEEDLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "EKO",
        "authorized_official_first_name": "MONROKE",
        "authorized_official_middle_name": "OLUBUKOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-805-9715"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Dell Thomas, M.D.
• Ashley Jene' E Thomas, CRNP
• Theresa Thomas
• Verna Thomas, CRNA
• Tamara Alicia Thompson
• Joan Renee Todd, R.D., L.D.N.
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• Assisted Living Facility (Behavioral Disturbances) in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Assisted Living Facility (Behavioral Disturbances) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.