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PRIDE ASSISTED LIVING, LLC
NPI 1053908053
Assisted Living Facility in Baltimore, MD

Active since December 23, 2020
1003 WHATCOAT ST, BALTIMORE, MD 21217(443) 708-3017 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pride Assisted Living, Llc NPPES

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

PRIDE ASSISTED LIVING, LLC (NPI 1053908053) is a healthcare organization registered as an assisted living facility in Baltimore, Maryland and active in the NPI registry since December 2020. The organization lists Ieshia Latoya Clark, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1053908053
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRIDE ASSISTED LIVING, LLC
Location Address1003 WHATCOAT STBaltimore, MD 21217-2220
Mailing Address1003 Whatcoat StBaltimore, MD 21217-2220 · (443) 708-3017
Phone(443) 708-3017
Organization SubpartNo
Authorized OfficialIeshia Latoya ClarkOwner/manager · (443) 814-7882
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
✔ NPI 1053908053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

1003 WHATCOAT ST, Baltimore, MD 21217
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Other Names 1

Doing Business AsPride Assisted Living, Llc

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 Pride Assisted Living, LLC's NPI number?

The NPI number for Pride Assisted Living, LLC is 1053908053. It was assigned to this organization in the NPPES registry on December 23, 2020.

Where is Pride Assisted Living, LLC located?

Pride Assisted Living, LLC is located at 1003 Whatcoat St, Baltimore, MD 21217. The listed phone number is (443) 708-3017.

What is Pride Assisted Living, LLC'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 Pride Assisted Living, LLC was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.