Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY R GIBBS
Active Sole ProprietorSTACEY R GIBBS is a Assisted Living Facility healthcare provider located in BALTIMORE, Maryland. NPI 1417764580 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · BALTIMORE, MD
Registration Details
- NPI Number
- 1417764580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2024 (1.6665507745746 yrs)
- Last Updated
- Dec 12, 2024
- License
-
30AL3570-A (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3609 E NORTHERN PKWYBALTIMORE, MD, 212061645Browse MD providers · Browse ZIP 21206
- Phone
- 4434151409
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| CAROLYN PEOPLES | ASSISTED LIVING PROV | 1235251315 |
| MRS. MARIE G. FERNELIS | — | 1467643049 |
| GRACE WATSON | RN | 1578986469 |
| TAKEETA GARDNER | — | 1104375435 |
| MS. AMELIA CONSAUNDRA WARD | — | 1700323623 |
| TIARRA HURSEY | — | 1265930333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.