NPIMap

Organization Active NPI

Familychoice Clinic LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1003598913
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FAMILYCHOICE CLINIC LLC
Practice address
4811 Laurel Ave
Baltimore, MD 21215-6401
Phone
(443) 825-2955
Fax
(667) 212-2682
NPI assigned
Aug 1, 2023
Organization subpart
Yes
Parent organization
FAMILYCHOICE CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2023

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

Authorized official

Name
Margaret T T Owolabi, DNP
Title
Director
Phone
(443) 825-2955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4811 Laurel Ave
Baltimore, MD 21215-6401

Mailing address

5513 York Rd
Baltimore, MD 21212-3804
Phone (443) 825-2955

National Provider Directory

National Provider Directory
Tax ID family
Familychoice Clinic LLC4 organizations share this tax ID, including this one
Part of
Familychoice Clinic LLC

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17017/brand/1/csg/1/fhir/r4

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703894400000",
    "number": "1003598913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123804",
            "telephone_number": "443-825-2955",
            "fax_number": "443-835-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 LAUREL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156401",
            "telephone_number": "443-825-2955",
            "fax_number": "667-212-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYCHOICE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILYCHOICE CLINIC LLC",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "OWOLABI",
        "authorized_official_first_name": "MARGARET T",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-825-2955",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "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 Dec 30, 2023; 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.