NPIMap

Organization Active NPI

Presbyterian Home of Maryland, Inc.

  • Assisted Living Facility
  • Towson, MD
National Provider Identifier
1265717011
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRESBYTERIAN HOME OF MARYLAND, INC.
Practice address
400 Georgia CT
Towson, MD 21204-4310
Phone
(410) 823-4622
Fax
(410) 823-0598
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Mrs. Susan Shea
Title
Ceo
Phone
(410) 823-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

400 Georgia CT
Towson, MD 21204-4310

Mailing address

400 Georgia CT
Towson, MD 21204-4310
Phone (410) 823-4622

National Provider Directory

National Provider Directory

Locations

400 Georgia Ct
Towson, MD 21204
Phone (410) 823-4622

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1265717011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GEORGIA CT",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044310",
            "telephone_number": "410-823-4622",
            "fax_number": "410-823-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GEORGIA CT",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044310",
            "telephone_number": "410-823-4622",
            "fax_number": "410-823-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOME OF MARYLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-823-4622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.