Assisted Living Facility

Address: 1003 Whatcoat St, Baltimore, MD 21217-2220

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).

Provider Overview

Nation Provider ID (NPI) 1053908053
Entity Type Organization
Practice Address 1003 Whatcoat St
MD 21217-2220
Practice Telephone 4437083017
Mailing Address 1003 Whatcoat St
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 Provider/Organization Names

Other Name Type Code
Pride Assisted Living, LLC Doing Business As Name

Office Location

Street Address 1003 WHATCOAT ST
State MD
Zip Code 21217-2220

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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
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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
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Zip Code 21217

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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.