Healthcare Provider Details

I. General information

NPI: 1831016807
Provider Name (Legal Business Name): AURA BLOOM ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2745 RIGGS AVE
BALTIMORE MD
21216-4325
US

IV. Provider business mailing address

2745 RIGGS AVE
BALTIMORE MD
21216-4325
US

V. Phone/Fax

Practice location:
  • Phone: 443-380-9691
  • Fax:
Mailing address:
  • Phone: 443-552-1933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSETTA NICOLE HILL
Title or Position: OWNER
Credential:
Phone: 443-380-9691