PEACE & GLORY MANORINC NPI 1952636649

NPI Information

  • NPI: 1952636649
  • Provider Name: PEACE & GLORY MANOR,INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 3829 KILBURN RD
    RANDALLSTOWN, MD
    ZIP 21133
  • Phone: (410) 922-2617

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NPI Details

PEACE & GLORY MANOR,INC is an assisted living facility in Randallstown, 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. PEACE & GLORY MANOR,INC NPI is 1952636649. The provider is registered as an organization entity type.

The provider's business location address is:

3829 KILBURN RD
RANDALLSTOWN, MD
ZIP 21133-655
Phone: (410) 922-2617
Fax: (410) 922-4620

The provider's authorized official is Gloria Lynn Brown - Bristol .
The authorized official title is Founder Ceo, President and has the following contact phone number (410) 922-2617.

The enumeration date for this NPI number is 10/13/2009 and was last updated on 10/13/2009.

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
1251B00000XCase ManagementNo
2302R00000XHealth Maintenance OrganizationMARYLANDNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
43104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
5314000000XSkilled Nursing FacilityNo
6343900000XNon-emergency Medical Transport (VAN)No
7347B00000XBusMARYLANDNo
8347C00000XPrivate VehicleNo
9310400000XAssisted 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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