Organization Active NPI

Ralan Assisted Living

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1306732987
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jun 17, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.