Active NPI
Tiffanie Rouson
- Assisted Living Facility
- Baltimore, MD
National Provider Identifier
1609700442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL-01163
- Practice address
- 5503 Sagra Rd
Baltimore, MD 21239-3311 - Phone
- (410) 553-7942
- Fax
- (248) 749-4891
- NPI assigned
- Jun 9, 2026
- 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-01163 | MD | Primary |
Addresses
Primary practice location
5503 Sagra Rd
Baltimore, MD 21239-3311
Mailing address
5503 Sagra Rd
Baltimore, MD 21239-3311
Phone (410) 553-7942
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1609700442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 SAGRA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212393311",
"telephone_number": "410-553-7942",
"fax_number": "248-749-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 SAGRA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212393311",
"telephone_number": "410-553-7942",
"fax_number": "248-749-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSON",
"first_name": "TIFFANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MD",
"license": "AL-01163",
"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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.