SOPHIA LASIE GOUGH NPI 1295509867

NPI Information

  • NPI: 1295509867
  • Provider Name: SOPHIA LASIE GOUGH
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Individual
  • Address: 1259 LIMIT AVE
    BALTIMORE, MD
    ZIP 21239
  • Phone: (443) 510-8226

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NPI Details

Sophia Lasie Gough is a nursing home administrator in Baltimore, MD. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Sophia Lasie Gough NPI is 1295509867. 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:

1259 LIMIT AVE
BALTIMORE, MD
ZIP 21239-748
Phone: (443) 510-8226

The enumeration date for this NPI number is 11/14/2023 and was last updated on 11/14/2023.

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
1376G00000XNursing Home AdministratorYes

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: 3/30/2025

NPI Synchronization or Removal

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