Organization Active NPI

Northwest Nursing, LLC

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1457591836
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jun 17, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4162978 00MedicaidMD

Other names 1

  • Northwest Nursing and Rehabilitation Center 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": "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.

Verify at the official NPI Registry.