Organization Active NPI

Cantler'S Personal Care Home

  • Assisted Living Facility
  • Abingdon, MD
National Provider Identifier
1801918693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12AL042 Issued in MD
Legal business name
CANTLER'S PERSONAL CARE HOME
Practice address
803 W Baker Ave
Abingdon, MD 21009-1454
Phone
(410) 676-6820
Fax
(410) 676-5159
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judith Carol Cantler, CNA
Title
Administrator
Phone
(410) 676-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12AL042 MD Primary

Addresses

Primary practice location

803 W Baker Ave
Abingdon, MD 21009-1454

Mailing address

803 W Baker Ave
Abingdon, MD 21009-1454
Phone (410) 676-6820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801918693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W BAKER AVE",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091454",
            "telephone_number": "410-676-6820",
            "fax_number": "410-676-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W BAKER AVE",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091454",
            "telephone_number": "410-676-6820",
            "fax_number": "410-676-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTLER'S PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTLER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-676-6820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "12AL042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.