Jenkins Memorial Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30-032 Issued in MD

Legal business name

JENKINS MEMORIAL NURSING HOME INC

Practice address

3320 Benson Ave
Baltimore, MD 21227-1035

Phone

(667) 600-2600

Fax

(667) 600-4035

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Zachary Richards, NHA

Title

Administrator

Phone

(667) 600-2601

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St Elizabeth Rehab and Nursing Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kinan Knaish, M.D.

  • Internal Medicine Physician
  • Parkville, MD
  • NPI 1821352113
  NPD (past)
• Ibrahim Mohammed Rizqui, M.D,

  • Internal Medicine Physician
  • Towson, MD
  • NPI 1386908374
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1295727485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 BENSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271035",
            "telephone_number": "410-644-7100",
            "fax_number": "410-644-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 BENSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271035",
            "telephone_number": "667-600-2600",
            "fax_number": "667-600-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS MEMORIAL NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "667-600-2601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300827400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "59017401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Rehab and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yara Jelwan, MD
• Jems Counseling and Clinical Supervision Services LLC
• Clifford L Jeng, MD
• Linda Jo Bone Jeng, M.D.
• Bryan Jenkin
• Aaron Jenkins, MD
• Adrienne C Jenkins, D.D.S.
• Adrienne Deanne Jenkins
• Alex Marie Jenkins, MD
• Amarri Jenkins

• Skilled Nursing Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.