Great Hearts Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREAT HEARTS ASSISTED LIVING

Practice address

1105 N Stockton St
Baltimore, MD 21217-2647

Phone

(202) 615-3377

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Amber Adgerson

Title

Owner/Delegating Nurse

Phone

(202) 615-3377

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1265219968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N STOCKTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172647",
            "telephone_number": "202-615-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N STOCKTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172647",
            "telephone_number": "202-615-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HEARTS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "ADGERSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/DELEGATING NURSE",
        "authorized_official_telephone_number": "202-615-3377"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneia Grayton
• Max Andrew Grayton, PA-C
• Melissa Grazette
• Alison V Grazioli, M.D.
• Charles Greally, MB BCH BAO
• Greater Baltimore Behavioral Health Services LLC
• Greater Baltimore Behavioral Health Services LLC
• Greater Baltimore Behavioral Health Services LLC
• Greater Baltimore Behavioral Health Services LLC
• Greater Baltimore Behavioral Health Services LLC

• Assisted Living Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.