Active NPI
Chyna Annette Williams
- Assisted Living Facility
- Baltimore, MD
National Provider Identifier
1558171025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL-00502
- Practice address
- 1718 N Pulaski St
Baltimore, MD 21217-1140 - Phone
- (443) 847-0408
- NPI assigned
- Jan 8, 2025
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL-00502 | MD | Primary |
Addresses
Primary practice location
1718 N Pulaski St
Baltimore, MD 21217-1140
Mailing address
1416 S Pleasant Valley Rd
Westminster, MD 21158-2720
Phone (443) 847-0408
Other practice location 1
606 Harwood Ave
Baltimore, MD 21212-3947
Phone (443) 847-0408
Other practice location 2
825 Glenwood Ave
Baltimore, MD 21212-4302
Phone (443) 847-0408
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
| License | State | Type | Specialty |
|---|---|---|---|
| AL-00502 | MD | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1558171025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 S PLEASANT VALLEY RD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211582720",
"telephone_number": "443-847-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 N PULASKI ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212171140",
"telephone_number": "443-847-0408"
}
],
"practiceLocations": [
{
"address_1": "606 Harwood Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212123947",
"country_code": "US",
"telephone_number": "443-847-0408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Glenwood Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212124302",
"country_code": "US",
"telephone_number": "443-847-0408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHYNA",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MD",
"license": "AL-00502",
"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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.