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SHELLISE JOHNSON
NPI 1023608049
Assisted Living Facility in Baltimore, MD

Active since January 23, 2021
1703 E 29TH ST, BALTIMORE, MD 21218(443) 869-6882 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shellise Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLISE JOHNSON (NPI 1023608049) is an individual assisted living facility provider in Baltimore, Maryland, licensed in Maryland (30AL3875) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1023608049
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameSHELLISE JOHNSON
Location Address1703 E 29TH STBaltimore, MD 21218-3745
Mailing Address703 Macdill RdMiddle River, MD 21220-3794 · (443) 310-8579
Phone(443) 869-6882
Sole ProprietorYes
Enumeration DateJanuary 23, 2021
NPPES CertifiedJanuary 23, 2021
✔ NPI 1023608049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MD · 30AL3875
Definition
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.
1703 E 29TH ST, Baltimore, MD 21218
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shellise Johnson's NPI number?

The NPI number for Shellise Johnson is 1023608049. It was assigned to this individual provider in the NPPES registry on January 23, 2021.

Where is Shellise Johnson located?

Shellise Johnson practices at 1703 E 29th St, Baltimore, MD 21218. The listed phone number is (443) 869-6882.

What is Shellise Johnson's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Shellise Johnson was last updated on January 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.