Airtrust Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AIRTRUST HEALTHCARE LLC

Practice address

12511 Silverbirch LN
Laurel, MD 20708-2563

Phone

(301) 317-4390

NPI assigned

Mar 15, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Enofe, OWNER

Title

Owner/Manager

Phone

(301) 317-4390

Specialties & licenses 1

Addresses

Other names 1

• Airtrust Healthcare LLC Former legal business name

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1679158257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 SILVERBIRCH LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082563",
            "telephone_number": "301-317-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 SILVERBIRCH LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082563",
            "telephone_number": "301-317-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRTRUST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ENOFE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "301-317-4390",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airtrust Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Airtrust Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Laurel, MD
• Providers in Laurel, 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 Mar 16, 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.