Organization Active NPI

Lilly's Quality Care 3

  • Assisted Living Facility
  • Gwynn Oak, MD
National Provider Identifier
1952209736
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LILLY'S QUALITY CARE 3
Practice address
5928 Saint Marys St
Gwynn Oak, MD 21207-4704
Phone
(410) 744-0915
Fax
(667) 200-5673
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Nicole Denise Johnson-Nesmith, RN BSN MSN DN/CM
Title
Assisted Living Manager
Phone
(410) 744-0915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5928 Saint Marys St
Gwynn Oak, MD 21207-4704

Mailing address

5928 Saint Marys St
Gwynn Oak, MD 21207-4704
Phone (410) 744-0915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1952209736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 SAINT MARYS ST",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074704",
            "telephone_number": "410-744-0915",
            "fax_number": "667-200-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 SAINT MARYS ST",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074704",
            "telephone_number": "410-744-0915",
            "fax_number": "667-200-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY'S QUALITY CARE 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-NESMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ASSISTED LIVING MANAGER",
        "authorized_official_telephone_number": "410-744-0915",
        "authorized_official_credential": "RN BSN MSN DN/CM"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.