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TAKEETA GARDNER
NPI 1104375435
Assisted Living Facility in Baltimore, MD

Active since September 28, 2016
1308 KENTON RD, BALTIMORE, MD 21234(410) 892-3335 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Takeeta Gardner NPPES

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

TAKEETA GARDNER (NPI 1104375435) is an individual assisted living facility provider in Baltimore, Maryland, licensed in Maryland (W16302184) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1104375435
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameTAKEETA GARDNER
Location Address1308 KENTON RDBaltimore, MD 21234-6013
Mailing Address1308 Kenton RdBaltimore, MD 21234-6013 · (410) 892-3335
Phone(410) 892-3335
Sole ProprietorYes
Enumeration DateSeptember 28, 2016
✔ NPI 1104375435 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 · W16302184
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.
1308 KENTON RD, Baltimore, MD 21234
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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 Takeeta Gardner's NPI number?

The NPI number for Takeeta Gardner is 1104375435. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Takeeta Gardner located?

Takeeta Gardner practices at 1308 Kenton Rd, Baltimore, MD 21234. The listed phone number is (410) 892-3335.

What is Takeeta Gardner'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 Takeeta Gardner was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.