1639456809 NPI number — CARING TOUCH MEDICAL, INC.

Table of content: MRS. GLADYS FAY TOMPKINS RN (NPI 1184962722)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639456809 NPI number — CARING TOUCH MEDICAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING TOUCH MEDICAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639456809
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2401 W BELVEDERE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21215-5216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-601-4725
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2401 W BELVEDERE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21215-5216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-601-4725
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2011

Additional Information

Authorized Official

Authorized Official Last Name:
DRYBALA
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
410-571-6752

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  30750286 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AQ30001 . This is a "BC CAREFIRST ALL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 262204 . This is a "KAISER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com