Provider Demographics
NPI:1952920191
Name:SHEILA'S PLACE ASSISTED LIVING
Entity type:Organization
Organization Name:SHEILA'S PLACE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEMETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-762-2603
Mailing Address - Street 1:5813 EURITH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-2736
Mailing Address - Country:US
Mailing Address - Phone:443-762-2603
Mailing Address - Fax:
Practice Address - Street 1:5813 EURITH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-2736
Practice Address - Country:US
Practice Address - Phone:443-762-2603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHEILA PLACE ASSISTED LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility