Active NPI
Ralan Assisted Living
- Assisted Living Facility
- Baltimore, MD
National Provider Identifier
1306732987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- RALAN ASSISTED LIVING
- Practice address
- 413 Lyman Ave
Baltimore, MD 21212-3512 - Phone
- (443) 902-4289
- Fax
- (443) 869-2547
- NPI assigned
- Jun 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Eguvwese
- Title
- Manager
- Phone
- (443) 902-4289
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
413 Lyman Ave
Baltimore, MD 21212-3512
Mailing address
413 Lyman Ave
Baltimore, MD 21212-3512
Phone (443) 902-4289
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1306732987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 LYMAN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123512",
"telephone_number": "443-902-4289",
"fax_number": "443-869-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 LYMAN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123512",
"telephone_number": "443-902-4289",
"fax_number": "443-869-2547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALAN ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "EGUVWESE",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "443-902-4289"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.