The Smoketree House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE SMOKETREE HOUSE LLC

Practice address

9105 Allenswood Rd
Randallstown, MD 21133-3309

Phone

(443) 790-1042

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Bridget Johnson

Title

Owner

Phone

(443) 790-1042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1639938475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 ALLENSWOOD RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333309",
            "telephone_number": "443-790-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 ALLENSWOOD RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333309",
            "telephone_number": "443-790-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMOKETREE HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-790-1042"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Randallstown, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.