Holbrock Estates at 809 N Rose Street LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLBROCK ESTATES AT 809 N ROSE STREET LLC

Practice address

809 N Rose St
Baltimore, MD 21205-1615

Phone

(443) 539-8508

Fax

(443) 539-8508

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Vernon Holmes

Title

Ceo

Phone

(667) 400-0602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1811718083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CONKLING ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242460",
            "telephone_number": "443-539-8508",
            "fax_number": "443-539-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N ROSE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051615",
            "telephone_number": "443-539-8508",
            "fax_number": "443-539-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROCK ESTATES AT 809 N ROSE STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "667-400-0602"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter D. Holback, PA-C
• Lindsay D Holbein
• Holbrock Estates at 1620 Druid Hill Avenue LLC
• Holbrock Estates at 1638 Ruxton Avenue LLC
• Holbrock Estates at 3021 Garrison Boulevard LLC
• Holbrock Estates at the Martin de Porres Center LLC
• Diamond Holbrook
• Justin Robert Holbrook, MD
• Lindsey Richelle Holbrook, PHD
• Teri J Holbrook, CPNP

• Assisted Living Facility in Baltimore, MD
• Providers in Baltimore, 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 Oct 21, 2024; 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.