Tracey Haskins, ASSISTED LIVING

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Practice address

5329 Hamlin Ave
Baltimore, MD 21215-5138

Phone

(240) 329-7714

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abundance of Love Assisted Living LLC

  • Assisted Living Facility
  • Baltimore, MD
  • NPI 1568030518
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1831767839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 HAMLIN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155138",
            "telephone_number": "240-329-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 HAMLIN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155138",
            "telephone_number": "240-329-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "TRACEY",
        "credential": "ASSISTED LIVING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Syeda Hasin, MD
• James Stephen Haskell, LCSW-C
• Orlett Haskett Torrence, CRNP
• Darren Gregory Haskett, PHD,MD
• Deborah Gladden Haskins, LCPC
• Jawad U Hasnain, M.D.
• Ashley Haspel, MSW, LCSW-C
• Tarek Hassab
• Sina Hassan Beygi Monfared, MD
• Abdirahman Hassan, MBBCHB

• Assisted Living Facility (Behavioral Disturbances) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Assisted Living Facility (Behavioral Disturbances) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.