NPIMap

Organization Active NPI

Jr Healthcare Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1053719575
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
905397 Issued in MD
Legal business name
JR HEALTHCARE ASSOCIATES, LLC
Doing business as
Behavioral Health Clinic (BHC)
Practice address
2310 N Charles St
Baltimore, MD 21218
Phone
(410) 844-4110
Fax
(410) 741-3008
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Nag Nelluri
Title
President
Phone
(443) 995-4113

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 905397 MD
Community Health Clinic/Center 261QC1500X 905397 MD
Health Service Clinic/Center 261QH0100X 905397 MD
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 905397 MD Primary
Adult Mental Health Clinic/Center 261QM0850X 905397 MD
Primary Care Clinic/Center 261QP2300X 905397 MD
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 905397 MD

Addresses

Primary practice location

2310 N Charles St
Baltimore, MD 21218

Mailing address

2310 N Charles St
Baltimore, MD 21218
Phone (410) 844-4110

Other identifiers 1

IdentifierTypeStateIssuer
200803300MedicaidMD

Other names 1

  • Behavioral Health Clinic (BHC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Clinic BHC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1053719575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "NELLURI",
        "authorized_official_first_name": "NAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-995-4113"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905397",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "905397",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "905397",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "905397",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "905397",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "905397",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "905397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200803300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Clinic (BHC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 2016; 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.