GREAT HEARTS ASSISTED LIVING NPI 1265219968

NPI Information

  • NPI: 1265219968
  • Provider Name: GREAT HEARTS ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1105 N STOCKTON ST
    BALTIMORE, MD
    ZIP 21217
  • Phone: (202) 615-3377

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NPI Details

GREAT HEARTS ASSISTED LIVING 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. GREAT HEARTS ASSISTED LIVING NPI is 1265219968. The provider is registered as an organization entity type.

The provider's business location address is:

1105 N STOCKTON ST
BALTIMORE, MD
ZIP 21217-647
Phone: (202) 615-3377

The provider's authorized official is Amber Adgerson .
The authorized official title is Owner/delegating Nurse and has the following contact phone number (202) 615-3377.

The enumeration date for this NPI number is 9/14/2023 and was last updated on 9/14/2023.

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
1311Z00000XCustodial Care FacilityNo
2310400000XAssisted Living FacilityYes

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: 11/21/2025

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