NPIMap

Organization Active NPI

Greater Glory Assisted Living

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1932739927
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GREATER GLORY ASSISTED LIVING
Practice address
3414 Menlo Dr
Baltimore, MD 21215-3828
Phone
(443) 839-7110
NPI assigned
Jan 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Authorized official

Name
Brandon Bain
Title
Operator
Phone
(443) 917-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3414 Menlo Dr
Baltimore, MD 21215-3828

Mailing address

3414 Menlo Dr
Baltimore, MD 21215-3828

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL greatergloryliving@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1932739927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 MENLO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MENLO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153828",
            "telephone_number": "443-839-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER GLORY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "443-917-9623"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "greatergloryliving@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3414 Menlo Dr",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212153828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.