Nichols Shelter Home for Elderly

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

12AL045 Issued in MD

Legal business name

NICHOLS SHELTER HOME FOR ELDERLY

Doing business as

Nichols Shelter Home for Elderly

Practice address

1111 Hanson Rd.
Edgewood, MD 21040

Phone

(410) 676-3374

Fax

(410) 676-4980

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Eva Sue Nichols, CAREGIVERF

Title

Owner

Phone

(410) 676-3374

Specialties & licenses 1

Addresses

Other names 1

• Nichols Shelter Home for Elderly Doing business as

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1871793877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HANSON RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210402116",
            "telephone_number": "410-676-3374",
            "fax_number": "410-676-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HANSON RD.",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "21040",
            "telephone_number": "410-676-3374",
            "fax_number": "410-676-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS SHELTER HOME FOR ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-676-3374",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAREGIVERF"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MD",
            "license": "12AL045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nichols Shelter Home for Elderly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• N&N Business Enterprises Inc (Edgewood Discount Pharmacy)
• Nalty & Associates Inc. (Therapeutic Living for Families)
• National Rehabilitation Hospital, Inc (MedStar Health Physical Therapy at Edgewood)
• Dayon Rochelle Nelson, CRNP
• New Horizons in-Home Care, LLC
• Marcus Andrew Nixon
• Jane Wangui Njagua
• Nova Interventional Pain Management
• Chibuzo Nwachukwu
• Ikechukwu Stanley Ojiegbe

• Health Maintenance Organization in Edgewood, MD
• Providers in Edgewood, MD by specialty
• Health Maintenance Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.