NPIMap

Organization Active NPI

Pinkett'S Assisted Living LLC

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1467575431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
30AL2945 Issued in MD
Legal business name
PINKETT'S ASSISTED LIVING LLC
Practice address
1701 Lydonlea Way
Baltimore, MD 21239-3101
Phone
(410) 336-5394
Fax
(410) 464-6051
NPI assigned
Apr 6, 2007
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. Leola Pinkett
Title
Ceo
Phone
(410) 336-5394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 30AL2945 MD Primary

Addresses

Primary practice location

1701 Lydonlea Way
Baltimore, MD 21239-3101

Mailing address

1701 Lydonlea Way
Baltimore, MD 21239-3101
Phone (410) 336-5394

National Provider Directory

National Provider Directory
Tax ID family
Leola Pinkett 'S Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467575431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LYDONLEA WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393101",
            "telephone_number": "410-336-5394",
            "fax_number": "410-464-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LYDONLEA WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393101",
            "telephone_number": "410-336-5394",
            "fax_number": "410-464-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKETT'S ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINKETT",
        "authorized_official_first_name": "LEOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-336-5394",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "30AL2945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.