NPIMap

Organization Active NPI

Amena Health & Rehabilitation Services

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1063117919
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMENA HEALTH & REHABILITATION SERVICES
Practice address
1049 Hillen St
Baltimore, MD 21202-5236
Phone
(443) 722-4838
NPI assigned
Mar 31, 2023
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Mr. Richard E OmorogbeNPI 1386161677
Title
Ceo/Therapist
Phone
(443) 722-4838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1049 Hillen St
Baltimore, MD 21202-5236

Mailing address

917 Ridgecrest Way
Bel Air, MD 21015-6385
Phone (443) 722-4838

Other practice location 1

1100 Bolton St Spc 1500
Baltimore, MD 21201-2222
Phone (443) 722-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241014001069 MD Part B Supplier - Clinic/Group Practice 3274065495 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Amena Health Rehabilitation Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1049 Hillen St
Baltimore, MD 21202
Phone (443) 722-4838

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1063117919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RIDGECREST WAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156385",
            "telephone_number": "443-722-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 HILLEN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025236",
            "telephone_number": "443-722-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Bolton St Spc 1500",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212012222",
            "country_code": "US",
            "telephone_number": "443-722-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMENA HEALTH & REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "OMOROGBE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "443-722-4838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "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 Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.