Organization Active NPI

Pikesville Assisted Living, LLC

  • Assisted Living Facility
  • Pikesville, MD
National Provider Identifier
1316210214
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
03AL0670-F Issued in MD
Legal business name
PIKESVILLE ASSISTED LIVING, LLC
Practice address
3800 Old Court Rd
Pikesville, MD 21208-3810
Phone
(410) 602-0033
Fax
(410) 602-0727
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Lynnette Walsch
Title
Executive Director
Phone
(410) 602-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 03AL0670-F MD Primary

Addresses

Primary practice location

3800 Old Court Rd
Pikesville, MD 21208-3810

Mailing address

3800 Old Court Rd
Pikesville, MD 21208-3810
Phone (410) 602-0033

Other names 1

  • Sunrise of Pikesville Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1316210214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 OLD COURT RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083810",
            "telephone_number": "410-602-0033",
            "fax_number": "410-602-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 OLD COURT RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083810",
            "telephone_number": "410-602-0033",
            "fax_number": "410-602-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKESVILLE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "WALSCH",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-602-0033"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "03AL0670-F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Pikesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.