NPIMap

Organization Active NPI

Home Health

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Baltimore, MD
National Provider Identifier
1972852416
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
374U00000X Issued in MD
Legal business name
HOME HEALTH
Practice address
1400 Anglesea Street
Apt 1B
Baltimore, MD 21224
Phone
(410) 800-6410
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Victoria Roslyn Rose
Title
Ceo
Phone
(443) 529-3229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 374U00000X MD Primary

Addresses

Primary practice location

1400 Anglesea Street
Apt 1B
Baltimore, MD 21224

Mailing address

2102 Greenmount Ave
Suite2
Baltimore, MD 21218
Phone (443) 529-3229

Other identifiers 1

IdentifierTypeStateIssuer
374U00000XMedicaidMD

National Provider Directory

National Provider Directory

Locations

2102 Greenmount Ave
Ste 2
Baltimore, MD 21218

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1972852416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 GREENMOUNT AVE",
            "address_2": "SUITE2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "443-529-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ANGLESEA STREET",
            "address_2": "APT 1B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-800-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ROSLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-529-3229"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MD",
            "license": "374U00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374U00000X",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "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 Aug 30, 2012; 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.