NPIMap

Organization Active NPI

Royal Heart Assisted Living Facility

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1659040798
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROYAL HEART ASSISTED LIVING FACILITY
Practice address
3604 White Ave
Baltimore, MD 21206-3412
Phone
(410) 469-9022
Fax
(410) 444-1847
NPI assigned
Sep 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Authorized official

Name
Mrs. Ngozi Gloria Wilkens, NGOZI GLORIA WILKENS
Title
Alm
Phone
(443) 642-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3604 White Ave
Baltimore, MD 21206-3412

Mailing address

3604 White Ave
Baltimore, MD 21206-3412
Phone (410) 469-9022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1659040798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 WHITE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063412",
            "telephone_number": "410-469-9022",
            "fax_number": "410-444-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 WHITE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063412",
            "telephone_number": "410-469-9022",
            "fax_number": "410-444-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HEART ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "ALM",
        "authorized_official_telephone_number": "443-642-9933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NGOZI GLORIA WILKENS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Sep 11, 2021; 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.