# LITTLE SISTERS OF THE POOR BALTIMORE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669460754
- **Authorized official:** SISTER JOSEPH GRENON RN 35726 (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (410) 744-9367

## Contact information

- **Practice address:** 601 MAIDEN CHOICE LN, ST MARTINS HOME, BALTIMORE, MD 21228-3630
- **Practice address phone:** (410) 744-9367
- **Practice address fax:** (410) 744-6380
- **Mailing address:** 601 MAIDEN CHOICE LN, ST MARTINS HOME, BALTIMORE, MD 21228-3630
- **Mailing address phone:** (410) 744-9367
- **Mailing address fax:** (410) 744-6380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 21D0649848 | MD | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 032707700 | — | MD |
| 01 | — | 215354 | MEDICARE PTAN | MD |
| 01 | — | 21D0649848 | CLIA | MD |