LITTLE SISTERS OF THE POOR BALTIMORE INC


Address: 601 Maiden Choice Ln, St Martins Home, Baltimore, MD 21228-3630
Phone: 4107449367

LITTLE SISTERS OF THE POOR BALTIMORE INC (NPI# 1669460754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669460754
Entity Type Organization
Organization Name LITTLE SISTERS OF THE POOR BALTIMORE INC
Practice Address 601 Maiden Choice Ln
St Martins Home
Baltimore
MD 21228-3630
Practice Telephone 4107449367
Practice Fax Number 4107446380
Mailing Telephone 4107449367
Mailing Fax Number 4107446380
Enumeration Date 2005-10-12
Last Update Date 2016-10-27
Authorized Official Name SISTER JOSEPH GRENON (ASSISTANT ADMINISTRATOR)
Authorized Official Telephone 4107449367
Authorized Official Credential RN 35726
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 21D0649848 MD Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD CLIA 21D0649848 01
MD 032707700 05
MD MEDICARE PTAN 215354 01

Office Location

Street Address 601 MAIDEN CHOICE LN
ST MARTINS HOME
City BALTIMORE
State MD
Zip Code 21228-3630

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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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Competitor

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City BALTIMORE
Zip Code 21228

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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