Organization Active NPI

Parkway Nursing & Rehabilitation Center, LLC

Doing business as dba Blue Point Nursing

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1356371645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
30031 Issued in MD
Legal business name
PARKWAY NURSING & REHABILITATION CENTER, LLC
Doing business as
dba Blue Point Nursing
Practice address
2525 W Belvedere Ave
Baltimore, MD 21215-5203
Phone
(410) 367-9100
Fax
(410) 367-6304
NPI assigned
Jul 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angie M Gozali, LNHA
Title
Administrator
Phone
(410) 367-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 30031 MD Primary

Addresses

Primary practice location

2525 W Belvedere Ave
Baltimore, MD 21215-5203

Mailing address

2525 W Belvedere Ave
Baltimore, MD 21215-5203
Phone (410) 367-9100

Other names 1

  • dba Blue Point Nursing 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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356371645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155203",
            "telephone_number": "410-367-9100",
            "fax_number": "410-367-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155203",
            "telephone_number": "410-367-9100",
            "fax_number": "410-367-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOZALI",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-367-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Blue Point Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.