Individual provider Active NPI

Marie G. Fernelis

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1467643049
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
03AL0834 Issued in MD
Practice address
8411 Maymeadow CT
Baltimore, MD 21244-2148
Phone
(410) 521-4333
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 03AL0834 MD Primary
Assisted Living Facility 310400000X 30AL2941 MD
Assisted Living Facility 310400000X 03AL0888 MD
Assisted Living Facility 310400000X 03AL0973 MD

Addresses

Primary practice location

8411 Maymeadow CT
Baltimore, MD 21244-2148

Mailing address

8411 Maymeadow CT
Baltimore, MD 21244-2148
Phone (410) 521-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03AL0834MDMDAssisted Living Facility
03AL0888MDMDAssisted Living Facility
03AL0973MDMDAssisted Living Facility
30AL2941MDMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Way of Hope Inc. Current Accepting new patients
Way of Hope Inc. Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1467643049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 MAYMEADOW CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442148",
            "telephone_number": "410-521-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 MAYMEADOW CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442148",
            "telephone_number": "410-521-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNELIS",
        "first_name": "MARIE",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "03AL0834",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "30AL2941",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "03AL0888",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "03AL0973",
            "primary": false
        }
    ],
    "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 7, 2007; 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.