NPIMap

Organization Active NPI

Affluent Living Adult Care

Doing business as Affluent Living

  • Assisted Living Facility
  • Gwynn Oak, MD
National Provider Identifier
1528667011
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AFFLUENT LIVING ADULT CARE
Doing business as
Affluent Living
Practice address
4106 Maine Ave
Gwynn Oak, MD 21207-7503
Phone
(410) 365-6629
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Mr. Sundia Gaynor
Title
Assisted Living Manager
Phone
(410) 365-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4106 Maine Ave
Gwynn Oak, MD 21207-7503

Mailing address

4106 Maine Ave
Gwynn Oak, MD 21207-7503
Phone (410) 365-6629

Other names 1

  • Affluent Living 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": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1528667011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 MAINE AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212077503",
            "telephone_number": "410-365-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 MAINE AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212077503",
            "telephone_number": "410-365-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFLUENT LIVING ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "SUNDIA",
        "authorized_official_title_or_position": "ASSISTED LIVING MANAGER",
        "authorized_official_telephone_number": "410-365-6629",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affluent Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.