Active NPI
Northwest Nursing, LLC
- Skilled Nursing Facility
- Baltimore, MD
National Provider Identifier
1457591836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NORTHWEST NURSING, LLC
- Practice address
- 4601 Pall Mall Rd
Baltimore, MD 21215-6414 - Phone
- (410) 664-5551
- Fax
- (443) 573-0236
- NPI assigned
- Feb 25, 2009
- 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
- Stephen Bellone
- Title
- Managing Member
- Phone
- (410) 625-1502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4601 Pall Mall Rd
Baltimore, MD 21215-6414
Mailing address
921 E Fort Ave
240
Baltimore, MD 21230-5134
Phone (410) 625-1502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4162978 00 | Medicaid | MD |
Other names 1
- Northwest Nursing and Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245196800000",
"number": "1457591836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E FORT AVE",
"address_2": "240",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212305134",
"telephone_number": "410-625-1502",
"fax_number": "410-625-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 PALL MALL RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212156414",
"telephone_number": "410-664-5551",
"fax_number": "443-573-0236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST NURSING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-25",
"last_updated": "2009-06-17",
"status": "A",
"authorized_official_last_name": "BELLONE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "410-625-1502"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4162978 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Nursing and Rehabilitation Center",
"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 Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.