Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey R Gibbs

Individual provider Assisted Living Facility · NPI 1417764580

Stacey R Gibbs is an Assisted Living Facility in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

3609 E Northern Pkwy
Baltimore, MD 21206-1645
Phone: (443) 415-1409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 30AL3570-A (MD)

Record details

NPI number1417764580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

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