Our House Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

02AL0299 Issued in MD

Legal business name

OUR HOUSE ASSISTED LIVING FACILITY

Practice address

8248 Mimico S
Millersville, MD 21108-1145

Phone

(410) 987-2046

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline D Mason

Title

Owner/Manager

Phone

(443) 205-7543

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1356634745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8248 MIMICO S",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081145",
            "telephone_number": "410-987-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8248 MIMICO S",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081145",
            "telephone_number": "410-987-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "443-205-7543",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "02AL0299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.