Active NPI
Refresh Recovery Center
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1073029120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- REFRESH RECOVERY CENTER
- Practice address
- 5009 Beaufort Ave
Baltimore, MD 21215-5818 - Phone
- (443) 562-0147
- NPI assigned
- Dec 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ndegwa
- Title
- General Partner
- Phone
- (443) 562-0147
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Health Information Technician | 247000000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Pharmacy | 333600000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
5009 Beaufort Ave
Baltimore, MD 21215-5818
Mailing address
3627 Valley Ter
Windsor Mill, MD 21244-3209
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514246400000",
"number": "1073029120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3627 VALLEY TER",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212443209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 BEAUFORT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155818",
"telephone_number": "443-562-0147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFRESH RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A",
"authorized_official_last_name": "NDEGWA",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "443-562-0147"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "247000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"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 Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.