Organization Active NPI

Springwell, LLC

Doing business as Springwell Senior Living

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1982876736
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
30AL3107-A Issued in MD
Legal business name
SPRINGWELL, LLC
Doing business as
Springwell Senior Living
Practice address
2211 W Rogers Ave
Baltimore, MD 21209-4424
Phone
(410) 664-4006
Fax
(410) 664-3060
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. John Chay
Title
Managing Member
Phone
(410) 771-9043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 30AL3107-A MD Primary

Addresses

Primary practice location

2211 W Rogers Ave
Baltimore, MD 21209-4424

Mailing address

2211 W Rogers Ave
Baltimore, MD 21209-4424
Phone (410) 664-4006

Other identifiers 1

IdentifierTypeStateIssuer
9518037 00MedicaidMD

Other names 1

  • Springwell Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1085892Springwell LLC Dba Springwell Senior Living2211 West Rogers Avenue, Baltimore, MD 21209Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1982876736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W ROGERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094424",
            "telephone_number": "410-664-4006",
            "fax_number": "410-664-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W ROGERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094424",
            "telephone_number": "410-664-4006",
            "fax_number": "410-664-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "CHAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-771-9043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "30AL3107-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9518037 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springwell Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.