NPIMap

Organization Active NPI

Gilchrist Hospice Care, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1871069799
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
GILCHRIST HOSPICE CARE, INC.
Practice address
6701 N Charles St Ste 4105
Baltimore, MD 21204-6808
Phone
(443) 849-3184
NPI assigned
Oct 18, 2018
Organization subpart
Yes
Parent organization
GBMC HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Jennifer Modderman
Title
Revenue Cycle Manager
Phone
(443) 849-8302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X

Addresses

Primary practice location

6701 N Charles St Ste 4105
Baltimore, MD 21204-6808

Mailing address

6701 N. Charles Street
S. Chapman Building, Suite 102
Baltimore, MD 21204
Phone (443) 849-6775

Other names 1

  • Gilchrist Elder Medical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703000535 MD Part B Supplier - Clinic/Group Practice 2769580422 Receives reassigned benefits from 73 practitioners
Practice locations: Cockeysville, MD; Gilchrist Elder Medical Care, MD; Hagerstown, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Gilchrist Hospice Care Inc3 organizations share this tax ID, including this one
Part of
Greater Baltimore Medical Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6701 N Charles St
Ste 4101
Baltimore, MD 21204
Phone (443) 849-6255

6701 N Charles St
#4105
Baltimore, MD 21204
Phone (443) 849-3165

6701 N Charles St
Ste 102
Towson, MD 21204
Phone (443) 849-2459

6701 N Charles St
Rm 4105
Towson, MD 21204

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gilchrist Elder Medical CareHagerstown, MD, CCN 211511 Hospice 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2024
Franklin Hospice, LLCChambersburg, PA, CCN 391793 Hospice Other (100%) Sep 1, 2024
Luminis Health Gilchrist Lifecare Institute, LLCAnnapolis, MD, CCN 211546 Hospice 5% Or Greater Direct Ownership Interest (50%) Jan 1, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1871069799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N. CHARLES STREET",
            "address_2": "S. CHAPMAN BUILDING, SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-849-6775",
            "fax_number": "443-849-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST STE 4105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILCHRIST HOSPICE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GBMC HEALTHCARE",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "MODDERMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "443-849-8302"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilchrist Elder Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.