NPIMap

Organization Active NPI

Home Free Iop

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1003205907
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
905390 Issued in MD
Legal business name
HOME FREE IOP
Practice address
10 W Madison St Ste 11
Baltimore, MD 21201-5239
Phone
(443) 438-5239
NPI assigned
Jan 15, 2015
Organization subpart
Yes
Parent organization
HOME FREE IOPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Leslie Bradley-Poff, CRNP
Title
Program Administrator
Phone
(410) 225-7696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 905390 MD Primary

Addresses

Primary practice location

10 W Madison St Ste 11
Baltimore, MD 21201-5239

Mailing address

10 W Madison St Ste 11
Baltimore, MD 21201-5239
Phone (443) 438-5239

National Provider Directory

National Provider Directory
Tax ID family
Home Free Iop4 organizations share this tax ID, including this one
Part of
Home Free Iop

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1003205907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MADISON ST STE 11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015239",
            "telephone_number": "443-438-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MADISON ST STE 11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015239",
            "telephone_number": "443-438-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FREE IOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME FREE IOP",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BRADLEY-POFF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "410-225-7696",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.