PRIDE ASSISTED LIVING, LLC (NPI# 1053908053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053908053 |
| Entity Type | Organization |
| Organization Name | PRIDE ASSISTED LIVING, LLC |
| Practice Address | 1003 Whatcoat St Baltimore MD 21217-2220 |
| Practice Telephone | 4437083017 |
| Mailing Address | 1003 Whatcoat St Baltimore MD 21217-2220 |
| Mailing Telephone | 4437083017 |
| Certification Date | 2020-12-23 |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |
| Authorized Official Telephone | 4438147882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pride Assisted Living, LLC | Doing Business As Name |
| Street Address | 1003 WHATCOAT ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588255756 | Nuwave Health Srvices | Substance Abuse Rehabilitation Facility | 609 Appleton Street, Baltimore, MD 21217 | 2021-02-01 |
| 1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
| 1821598616 | Organizational Pathways, LLC | Counselor · Professional | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
| 1881131308 | Domonique Matthews | Registered Nurse | 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 | 2017-01-23 |
| 1285189597 | Kelly Moore | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2016-08-17 |
| 1992121982 | Dorren Rennes | Counselor · Mental Health | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
| 1437498615 | Care One Pharmacy Ltc/Specialty Pharmacy | Pharmacy · Long Term Care Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
| 1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
| 1386816395 | Kennedy Krieger Education and Communication · Kennedy Krieger School | Social Worker · School | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
| Find all providers in zip 21217 | ||||
| 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 |
|---|---|---|---|---|
| 1649862277 | Golden Assisted Living LLC | 5126 Chalgrove Ave, Baltimore, MD 21215-5127 | 2021-02-04 | |
| 1104416593 | Wanda Alisa Shird | 4406 Belle Ave, Baltimore, MD 21207-7645 | 2021-01-20 | |
| 1487243580 | Patrick A Francis | 3643 Reisterstown Rd, Baltimore, MD 21215-7701 | 2021-01-13 | |
| 1871189985 | Divine Living Limited Liability Company | 202 E Lanvale St, Baltimore, MD 21202-2814 | 2020-12-14 | |
| 1427651892 | Dana Viola Holley | 821 W Cross St, Baltimore, MD 21230-2501 | 2020-11-18 | |
| 1720680077 | Sudia Corbin | 3835 Sequoia Ave, Baltimore, MD 21215-5405 | 2020-11-11 | |
| 1548862949 | Integrity-Esthers Place, LLC | 2926 Harford Rd, Baltimore, MD 21218-3142 | 2020-11-10 | |
| 1700486032 | Comfort At Home Care, LLC | 4628 Marble Hall Rd, Baltimore, MD 21239-3937 | 2020-10-27 | |
| 1740896182 | M&o Prestige Partnership LLC | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 | |
| 1922612563 | Tracie Shirrelle Gambrill | 3029 Windsor Ave, Baltimore, MD 21216-2751 | 2020-09-01 | |
| Find all providers in BALTIMORE | ||||
| City | BALTIMORE |
| Zip Code | 21217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518319631 | Elderly Pride Assisted Living | Assisted Living Facility · Assisted Living, Mental Illness | 322 Regal Park Dr, Valrico, FL 33594-3638 | 2016-07-13 |
| 1174748446 | Maine Assisted Living LLC · Kindred Assisted Living-Village Crossings | Assisted Living Facility | 78 Scott Dyer Rd, Cape Elizabeth, ME 04107-2200 | 2007-04-13 |
| 1376023945 | Lithia Assisted Living LLC · Twin Creeks Assisted Living & Memory Care | Assisted Living Facility | 13470 Boyette Rd, Riverview, FL 33569 | 2018-08-14 |
| 1669685939 | Gresham Assisted Living LLC · Huntington Terrace Assisted Living Residence | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1104286376 | Colorado Assisted Living Homes · Columbine Assisted Living Management Inc | Point of Service | 7456 S Kendall Blvd, Littleton, CO 80128-4682 | 2016-03-02 |
| 1093867244 | Saintes Assisted Independent Living · Floyd B Mckissick Sr. Assisted Living Center | Assisted Living Facility | 962 Manson Axtell Rd, Norlina, NC 27563-9451 | 2007-01-17 |
| 1740322130 | St. Botolph Assisted Living Limited Partnership · Susan S. Bailis Assisted Living Community | Assisted Living Facility | 352 Massachusetts Ave, Boston, MA 02115-4950 | 2007-02-13 |
| 1841782638 | Goldwater Legacy Assisted Living LLC · Gold Water Assisted Living II | Assisted Living Facility | 6640 W Pinnacle Peak Rd, Glendale, AZ 85310-3409 | 2018-06-06 |
| 1750541231 | Parke Ridge Assisted Living Assoc. · Harmony Place Assisted Living | Assisted Living Facility | 8420 Roosevelt Blvd, Philadelphia, PA 19152-2064 | 2008-06-10 |
| 1922158575 | Hamilton Township Assisted Living LLC · Woodview Estates Assisted Living | Assisted Living Facility | 5030 Unami Blvd, Mays Landing, NJ 08330-2009 | 2007-01-12 |
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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.