Maryland Masonic Homes. LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARYLAND MASONIC HOMES. LTD

Practice address

300 International Cir
Cockeysville, MD 21030-1300

Phone

(410) 527-1417

Fax

(410) 527-1379

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Tammie Sue Houck, NHA

Title

Executive Director

Phone

(410) 527-1417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912424581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL CIR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301300",
            "telephone_number": "410-527-1417",
            "fax_number": "410-527-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL CIR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301300",
            "telephone_number": "410-527-1417",
            "fax_number": "410-527-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MASONIC HOMES. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-527-1417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Leigh Marsjanik
• Garrette Martin-Yeboah, PHARMD, MPH
• Lyla R Martin
• Maryland Counseling Associates,LLC
• Maryland CVS Pharmacy LLC (CVS Pharmacy #16612)
• Maryland Parent Child Clinic, LLC
• MB Services LLC (MB HomeCare)
• Michael Kamau Mbagu, PHARMACIST
• Theodore McCadden Jr., LCADC, CPP
• Nneka McClane, CRNP

• Skilled Nursing Facility in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.