NPIMap

Organization Active NPI

Mi Casa Es Su Casa Inc

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1053883066
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MI CASA ES SU CASA INC
Doing business as
MI CASA ES SU CASA INC
Practice address
3921 Old York Rd
Baltimore, MD 21218-1910
Phone
(443) 563-6280
NPI assigned
Jan 2, 2019
Organization subpart
Yes
Parent organization
MI CASA ES SU CASA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Carlton Tyrone Carrington
Title
Executive Director
Phone
(443) 708-8381

Specialties & licenses 1

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

Addresses

Primary practice location

3921 Old York Rd
Baltimore, MD 21218-1910

Mailing address

3921 Old York Rd
Baltimore, MD 21218-1910
Phone (443) 563-6280

Other identifiers 1

IdentifierTypeStateIssuer
BH001393OtherMDBEHAV HLTH ADMIN

Other names 1

  • MI CASA ES SU CASA INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mi Casa Es Su Casa Inc2 organizations share this tax ID, including this one
Part of
Mi Casa Es Su Casa Inc

Other organizations with this tax ID 1

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": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1053883066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 OLD YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181910",
            "telephone_number": "443-563-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 OLD YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181910",
            "telephone_number": "443-563-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA ES SU CASA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MI CASA ES SU CASA INC",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-708-8381"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAV HLTH ADMIN",
            "identifier": "BH001393",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI CASA ES SU CASA INC",
            "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 Jan 2, 2019; 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.