A Dawn Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

13AL0232-C Issued in MD

Legal business name

A DAWN HOME LLC

Practice address

4994 Beaverbrook Rd
Columbia, MD 21044-1408

Phone

(410) 905-3654

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By 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

Ms. Dawn Cooper, RN

Title

Manager

Phone

(410) 905-3654

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1790058568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 BEAVERBROOK RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441408",
            "telephone_number": "410-905-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 BEAVERBROOK RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441408",
            "telephone_number": "410-905-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DAWN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-905-3654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "13AL0232-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF AGING MEDICAL CARE PROGRAM",
            "identifier": "5689505100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Columbia, MD
• Providers in Columbia, 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 Feb 9, 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.

Verify at the official NPI Registry.