Sodexo

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

DX2497 Issued in MD

Legal business name

SODEXO

Practice address

2011 Song Sparrow CT
Hampstead, MD 21074-2640

Phone

(443) 974-8564

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Aimee Marie Morris

Title

Clinical Nutrition Manager

Phone

(443) 605-1076

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1831408665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 SONG SPARROW COURT",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "21074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 SONG SPARROW CT",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742640",
            "telephone_number": "443-974-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODEXO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL NUTRITION MANAGER",
        "authorized_official_telephone_number": "443-605-1076",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "DX2497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA/CDR",
            "identifier": "930925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD SATE LICENSE",
            "identifier": "DX2497",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula L Shaffer, D.AC., L. AC.
• Taylor Sheely
• Sinai Hospital of Baltimore, Inc.
• Kaytlyn Gayle Smith, DPT
• Martha Reed Smith, LCPC
• Eunice Song
• Heather Spratt, OT
• Stephen Laiken, MD, PA
• Stacey Sullivan-Testa, LGPC
• Carianne Alyse Sullivan, DPT

• Skilled Nursing Facility in Hampstead, MD
• Providers in Hampstead, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.