NPIMap

Organization Active NPI

Chatford Manor Behavioral & Residential Services, LLC.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1053021972
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CHATFORD MANOR BEHAVIORAL & RESIDENTIAL SERVICES, LLC.
Practice address
2107 Liberty Heights Ave
Baltimore, MD 21217-2027
Phone
(443) 413-0468
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Temi Wells
Title
Owner
Phone
(443) 960-1497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2107 Liberty Heights Ave
Baltimore, MD 21217-2027

Mailing address

8109 Harford Rd Ste 2
Baltimore, MD 21234-9205
Phone (443) 413-0468

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.chatfordmanor.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Chatford Manor Behavioral Residential Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1053021972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 HARFORD RD STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212349205",
            "telephone_number": "443-413-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172027",
            "telephone_number": "443-413-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATFORD MANOR BEHAVIORAL & RESIDENTIAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-960-1497"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.chatfordmanor.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2107 Liberty Heights Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212172027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 2, 2024; 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.