=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700252830
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BESTCARE ASSISTED LIVING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2015
-----------------------------------------------------
Last Update Date | 08/12/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 639 MAIN ST
-----------------------------------------------------
City | REISTERSTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21136-1931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-596-5863
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 577
-----------------------------------------------------
City | MANCHESTER
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21102-0577
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-596-5863
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BSN,RN,CEO
-----------------------------------------------------
Name | MRS. CATHERINE DARA BEST
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 410-596-5863
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number | 03AL0963F
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------