NPIMap

Organization Active NPI

Rica-Baltimore

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1063402121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
03-045 Issued in MD
Legal business name
RICA-BALTIMORE
Practice address
605 S Chapel Gate LN
Baltimore, MD 21229-3906
Phone
(410) 368-7801
Fax
(410) 368-7886
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Penny Makris
Title
Ceo
Phone
(410) 368-7801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 03-045 MD Primary

Addresses

Primary practice location

605 S Chapel Gate LN
Baltimore, MD 21229-3906

Mailing address

605 S Chapel Gate LN
Baltimore, MD 21229-3906
Phone (410) 368-7801

Other names 1

  • Regional Institute for Children and Adolescents- Baltimore Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 21L007

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RICA - BALTIMORE
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jun 23, 2003
Last certification
Jun 23, 2003
Beds
45
Ownership / control type
Government – county
Facility address
605 South Chapel Gate Lane
Baltimore, MD 21229

National Provider Directory

National Provider Directory
Tax ID family
Howard County Health de83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

605 S Chapel Gate Ln
Baltimore, MD 21229
Phone (410) 368-7754

Practitioners & affiliated clinicians

Practitioners 2

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": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063402121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CHAPEL GATE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293906",
            "telephone_number": "410-368-7801",
            "fax_number": "410-368-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S CHAPEL GATE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293906",
            "telephone_number": "410-368-7801",
            "fax_number": "410-368-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICA-BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAKRIS",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-368-7801"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MD",
            "license": "03-045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Institute for Children and Adolescents- Baltimore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.