A Place Just for Me

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

04A1.0060-A Issued in MD

Legal business name

A PLACE JUST FOR ME

Practice address

4670 Williams Wharf Rd
Saint Leonard, MD 20685-3044

Phone

(443) 684-2214

Fax

(443) 951-9005

NPI assigned

Sep 3, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Robert Terry Graham, NDP

Title

President/Ceo

Phone

(443) 684-2214

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535932800000",
    "number": "1568944858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 WILLIAMS WHARF RD",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206853044",
            "telephone_number": "443-684-2214",
            "fax_number": "443-951-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 WILLIAMS WHARF RD",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206853044",
            "telephone_number": "443-684-2214",
            "fax_number": "443-951-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE JUST FOR ME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "443-684-2214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NDP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "04A1.0060-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND DEPART OF HEALTH OFFICE OF HEALTH CARE QUALITY",
            "identifier": "04A1.0060-A",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1 Heart Medical Supplies LLC
• A Place for Me, Inc
• Angelic Home Care Inc.
• Jessica Marie Bullis, LMSW
• Chesapeake Health Services, LLC
• Mackenzie Anne Craig
• Justine S Ellerman, CRNP

• Assisted Living Facility in Saint Leonard, MD
• Providers in Saint Leonard, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.