Organization Active NPI

Taylor Care II

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1700673704
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TAYLOR CARE II
Practice address
4115 Penhurst Ave
Baltimore, MD 21215-4928
Phone
(443) 865-1129
Fax
(410) 878-0916
NPI assigned
Apr 22, 2025
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Shaunese Taylor
Title
Owner
Phone
(443) 865-1129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

4115 Penhurst Ave
Baltimore, MD 21215-4928

Mailing address

4115 Penhurst Ave
Baltimore, MD 21215-4928
Phone (443) 865-1129

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2336590Taylor Care II4115 Penhurst Avenue, Baltimore, MD 21215Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1700673704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 PENHURST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154928",
            "telephone_number": "443-865-1129",
            "fax_number": "410-878-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 PENHURST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154928",
            "telephone_number": "443-865-1129",
            "fax_number": "410-878-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CARE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHAUNESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-865-1129"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "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 Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.