Active NPI
Amelia Consaundra Ward
- Assisted Living Facility
- Baltimore, MD
National Provider Identifier
1700323623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 30AL3144-D
- Practice address
- 5910 Ayleshire Rd
Baltimore, MD 21239-2404 - Phone
- (410) 530-9707
- NPI assigned
- Jan 30, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 30AL3144-D | MD | Primary |
| Assisted Living Facility (Mental Illness) | 3104A0625X | 30AL3144-D | MD | |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 30AL3144-D | MD |
Addresses
Primary practice location
5910 Ayleshire Rd
Baltimore, MD 21239-2404
Mailing address
5910 Ayleshire
Baltimore, MD 21239
Phone (410) 530-9707
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30AL3144-D | MD | MD | Assisted Living Facility (Mental Illness) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1700323623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 AYLESHIRE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21239",
"telephone_number": "410-530-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 AYLESHIRE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392404",
"telephone_number": "410-530-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "AMELIA",
"middle_name": "CONSAUNDRA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MD",
"license": "30AL3144-D",
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "MD",
"license": "30AL3144-D",
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "MD",
"license": "30AL3144-D",
"primary": false
}
],
"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 Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.