Keaizhae'S Home LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

KEAIZHAE'S HOME LLC

Practice address

5720 Leith Walk
Baltimore, MD 21239-2630

Phone

(410) 572-7934

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Keaisha Miranda Cole

Title

LPN

Phone

(410) 572-7934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1295419984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 LEITH WALK",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392630",
            "telephone_number": "410-572-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 LEITH WALK",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392630",
            "telephone_number": "410-572-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAIZHAE'S HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KEAISHA",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "410-572-7934"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nursing Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.