Active NPI
Nissim S Rakhminov
- Skilled Nursing Facility
- Baltimore, MD
National Provider Identifier
1740555986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- A3705
- Practice address
- 6716 Old Pimlico Rd
Baltimore, MD 21209-1612 - Phone
- (410) 900-0554
- NPI assigned
- Mar 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | A3705 | MD | Primary |
Addresses
Primary practice location
6716 Old Pimlico Rd
Baltimore, MD 21209-1612
Mailing address
6716 Old Pimlico Rd
Baltimore, MD 21209-1612
Phone (410) 900-9970
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 |
|---|---|---|---|
| A3705 | MD | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1740555986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6716 OLD PIMLICO RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091612",
"telephone_number": "410-900-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6716 OLD PIMLICO RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091612",
"telephone_number": "410-900-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKHMINOV",
"first_name": "NISSIM",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "A3705",
"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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.