Organization Active NPI

Waterfalls at Home, LLC

  • Home Health Agency
  • Catonsville, MD
National Provider Identifier
1922786284
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WATERFALLS AT HOME, LLC
Practice address
305 N Rolling Rd
Catonsville, MD 21228-4255
Phone
(443) 833-6416
Fax
(410) 744-1528
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Isabel Margarita Gavilanez
Title
Owner/President
Phone
(443) 630-1089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

305 N Rolling Rd
Catonsville, MD 21228-4255

Mailing address

305 N Rolling Rd
Catonsville, MD 21228-4255
Phone (443) 833-6416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1922786284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284255",
            "telephone_number": "443-833-6416",
            "fax_number": "410-744-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284255",
            "telephone_number": "443-833-6416",
            "fax_number": "410-744-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFALLS AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "GAVILANEZ",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "443-630-1089"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Jul 7, 2023; 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.