TAKEETA GARDNER NPI 1104375435

NPI Information

NPI: 1104375435
Provider Name: TAKEETA GARDNER
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
1308 KENTON RD
BALTIMORE, MD
ZIP 21234
Phone: (410) 892-3335
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Takeeta Gardner is an assisted living facility in Baltimore, MD. The provider is 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. Takeeta Gardner NPI is 1104375435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1308 KENTON RD
BALTIMORE, MD
ZIP 21234-013
Phone: (410) 892-3335

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		W16302184	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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