Individual provider Active NPI

Chyna Annette Williams

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1558171025
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-00502 Issued in MD
Practice address
1718 N Pulaski St
Baltimore, MD 21217-1140
Phone
(443) 847-0408
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AL-00502MDMDAssisted 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.

Verify at the official NPI Registry.