Organization Active NPI

St.Joseph's Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Catonsville, MD
National Provider Identifier
1871582585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
03036 Issued in MD
Legal business name
ST.JOSEPH'S NURSING HOME
Practice address
1222 Tugwell Dr
Catonsville, MD 21228-5847
Phone
(410) 747-0026
Fax
(410) 747-0386
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Krystyna Mroczek
Title
Administrator
Phone
(410) 747-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 03036 MD Primary

Addresses

Primary practice location

1222 Tugwell Dr
Catonsville, MD 21228-5847

Mailing address

1222 Tugwell Dr
Catonsville, MD 21228-5847
Phone (410) 747-0026

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2190307St Joseph's Nursing Home Inc1222 Tugwell Dr, Catonsville, MD 21228Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871582585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 TUGWELL DR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285847",
            "telephone_number": "410-747-0026",
            "fax_number": "410-747-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TUGWELL DR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285847",
            "telephone_number": "410-747-0026",
            "fax_number": "410-747-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOSEPH'S NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MROCZEK",
        "authorized_official_first_name": "KRYSTYNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-747-0026"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "03036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.