GREATER GLORY ASSISTED LIVING (NPI# 1932739927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932739927 |
Entity Type | Organization |
Organization Name | GREATER GLORY ASSISTED LIVING |
Practice Address |
3414 Menlo Dr Baltimore MD 21215-3828 |
Practice Telephone | 4438397110 |
Enumeration Date | 2020-01-19 |
Last Update Date | 2020-01-19 |
Authorized Official Name | BRANDON BAIN (OPERATOR) |
Authorized Official Telephone | 4439179623 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
3414 MENLO DR |
City | BALTIMORE |
State | MD |
Zip Code | 21215-3828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
Find all providers in zip 21215 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486032 | Comfort At Home Care, LLC | Assisted Living Facility | 4628 Marble Hall Rd, Baltimore, MD 21239-3937 | 2020-10-27 |
1740896182 | M&o Prestige Partnership LLC | Assisted Living Facility | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 |
1922612563 | Tracie Shirrelle Gambrill | Assisted Living Facility | 3029 Windsor Ave, Baltimore, MD 21216-2751 | 2020-09-01 |
1952920191 | Sheila's Place Assisted Living | Assisted Living Facility | 5813 Eurith Ave, Baltimore, MD 21206-2736 | 2020-04-08 |
1609403955 | Ashley Tonique Thompson | Assisted Living Facility | 952 Harlem Ave, Baltimore, MD 21217-2423 | 2020-03-26 |
1487285631 | Aim To Inspire Assisted Living LLC | Assisted Living Facility | 1329 N Caroline St, Baltimore, MD 21213-2819 | 2020-01-27 |
1639716723 | Olive Living Assisted Living LLC | Assisted Living Facility | 4802 Wendel Ave, Baltimore, MD 21206-3300 | 2019-12-08 |
1962055798 | Amber Yates | Assisted Living Facility | 1210 Edison Hwy, Baltimore, MD 21213-4005 | 2019-07-21 |
1316509524 | New Hope Assisted Living LLC | Assisted Living Facility | 5502 Seward Ave, Baltimore, MD 21206-4424 | 2019-07-08 |
1104390665 | Diorshay M Robinson | Assisted Living Facility | 1011 N Augusta Ave, Baltimore, MD 21229-1827 | 2019-01-17 |
Find all providers in BALTIMORE |
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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.