NPIMap

Organization Active NPI

Ravenwood Healthcare, Inc.

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1669560868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
30-067 Issued in MD
Legal business name
RAVENWOOD HEALTHCARE, INC.
Practice address
501 W Franklin St
Baltimore, MD 21201-1801
Phone
(410) 837-4990
Fax
(410) 685-0002
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cindie H Pittman
Title
Chief Financial Officer
Phone
(225) 753-0864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 30-067 MD Primary

Addresses

Primary practice location

501 W Franklin St
Baltimore, MD 21201-1801

Mailing address

PO Box 40213
Baton Rouge, LA 70835-0213
Phone (225) 753-0864

Other names 1

  • Ravenwood Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669560868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40213",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708350213",
            "telephone_number": "225-753-0864",
            "fax_number": "225-753-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W FRANKLIN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011801",
            "telephone_number": "410-837-4990",
            "fax_number": "410-685-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENWOOD HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "CINDIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "225-753-0864"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30-067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravenwood Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.