Active NPI
Gavasa Minor
- Assisted Living Facility
- Owings Mills, MD
National Provider Identifier
1750261764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 30AL1262
- Practice address
- 348 Kendig Dr
Owings Mills, MD 21117-1371 - Phone
- (410) 992-2122
- NPI assigned
- Sep 3, 2025
- Last updated
- Sep 3, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 30AL1262 | MD | Primary |
Addresses
Primary practice location
348 Kendig Dr
Owings Mills, MD 21117-1371
Mailing address
348 Kendig Dr
Owings Mills, MD 21117-1371
Phone (410) 992-2122
Other practice location 1
2412 W Lanvale St
Baltimore, MD 21216-4846
Phone (443) 835-3321
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 |
|---|---|---|---|
| 30AL1262 | MD | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1750261764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 KENDIG DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171371",
"telephone_number": "410-992-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 KENDIG DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171371",
"telephone_number": "410-992-2122"
}
],
"practiceLocations": [
{
"address_1": "2412 W Lanvale St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212164846",
"country_code": "US",
"telephone_number": "443-835-3321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINOR",
"first_name": "GAVASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MD",
"license": "30AL1262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
- Mandy Miller, PA-C
- Milner Associates, LLC (Milner Associates)
- Mindcare Wellness LLC
- Mindfulbalanced Psychiatric LLC
- Daniel Jerald Minkin, MD
- Joyce Miller Miskovic, CRNP
- Melanie Bliss Mitchell, M.S. CCC-SLP
- Inai Meggin Mkandawire, D.O.
- MLW Medical Supply Store
- MNR Industries, LLC (ExpressCare of Owings Mills)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.