Organization Active NPI

BH Health Services, Inc.

  • Methadone Clinic
  • Westminster, MD
National Provider Identifier
1063675189
Registry record updated Apr 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
903435 Issued in MD
Legal business name
BH HEALTH SERVICES, INC.
Practice address
450 E Main St
Westminster, MD 21157-5540
Phone
(410) 871-3005
Fax
(443) 293-8711
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2012

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

Authorized official

Name
Dr. Babak Imanoel, D.O.
Title
Medical Director
Phone
(410) 871-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 903435 MD Primary

Addresses

Primary practice location

450 E Main St
Westminster, MD 21157-5540

Mailing address

450 E Main St
Westminster, MD 21157-5540
Phone (410) 871-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191125002503 MD Part B Supplier - Opioid Treatment Program (Otp) 4789859729 Practice locations: Westminster, MD

National Provider Directory

National Provider Directory

Locations

1130 Baltimore Blvd
Ste C2
Westminster, MD 21157
Phone (410) 871-3005

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334448000000",
    "number": "1063675189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E MAIN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575540",
            "telephone_number": "410-871-3005",
            "fax_number": "443-293-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E MAIN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575540",
            "telephone_number": "410-871-3005",
            "fax_number": "443-293-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2012-04-15",
        "status": "A",
        "authorized_official_last_name": "IMANOEL",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-871-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MD",
            "license": "903435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2012; 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.