FB Peyton Rock of Aging,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0810001 Issued in MD

Legal business name

FB PEYTON ROCK OF AGING,LLC

Practice address

1421 Clarkview Rd
Suite 100B
Baltimore, MD 21209-2133

Phone

(410) 583-1944

Fax

(410) 583-1966

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Fbradley Peyton, J.D., M.DIV.

Title

President/Owner

Phone

(410) 583-1944

Specialties & licenses 2

Addresses

Other names 1

• BrightStar Healthcare Doing business as

Locations

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1861638470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 CLARKVIEW RD",
            "address_2": "SUITE 100B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092133",
            "telephone_number": "410-583-1944",
            "fax_number": "410-583-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 CLARKVIEW RD",
            "address_2": "SUITE 100B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092133",
            "telephone_number": "410-583-1944",
            "fax_number": "410-583-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FB PEYTON ROCK OF AGING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "FBRADLEY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-583-1944",
        "authorized_official_credential": "J.D., M.DIV."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "0810001",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "081001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.