Mrtllc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

02AL0233 Issued in MD

Legal business name

MRTLLC

Practice address

118 Arundel Beach Rd
Saverna Park
Severna Park, MD 21146-3102

Phone

(410) 384-9540

Fax

(410) 384-9541

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Margaret Taneus, RN

Title

Director

Phone

(410) 384-9540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Household of Angels Doing business as

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1285896209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "address_2": "SAVERNA PARK",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211468408",
            "telephone_number": "410-384-9540",
            "fax_number": "410-384-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ARUNDEL BEACH RD",
            "address_2": "SAVERNA PARK",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463102",
            "telephone_number": "410-384-9540",
            "fax_number": "410-384-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRTLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "TANEUS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-384-9540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MD",
            "license": "02AL0233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106039000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Household of Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise E Moreland, LCPC
• Valerie Lynn Morgan-Philbin, D.D.S.
• Victoria Anne Morgan
• Walter Morris
• Andy Moxey, LCSWC
• Ms-HC, LLC
• Shawn M Mudd, OD
• Edward Allen Muir, MPT
• Jeaneen Elizabeth Mullenhard, CRNP
• Hillary Renee Murdoch

• Assisted Living Facility (Behavioral Disturbances) in Severna Park, MD
• Providers in Severna Park, 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 Jul 1, 2008; 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.