NPIMap

Organization Active NPI

Concerted Care Group Management LLC

  • Lodging Provider
  • Baltimore, MD
National Provider Identifier
1083143804
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
CONCERTED CARE GROUP MANAGEMENT LLC
Practice address
2641 Barclay St
Baltimore, MD 21218-4711
Phone
(410) 617-0142
Fax
(443) 873-6975
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Barbara Wahl, RN, MA
Title
Chief Operating Officer
Phone
(667) 239-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

2641 Barclay St
Baltimore, MD 21218-4711

Mailing address

428 E 25TH St
Baltimore, MD 21218-5304
Phone (410) 617-0142

Other practice location 1

459 E Preston St
Baltimore, MD 21202-3922
Phone (410) 617-0142

Other practice location 2

420 E Lorraine Ave
Baltimore, MD 21218-4712
Phone (410) 617-0124

Other practice location 3

1034 Brentwood Ave
Baltimore, MD 21202-4203
Phone (410) 617-0142

Other practice location 4

412 E 25th St
Baltimore, MD 21218-5304
Phone (410) 617-0142

Other practice location 5

416 E 26th St
Baltimore, MD 21218-4703
Phone (410) 617-0142

Other names 1

  • CCG management, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concerted Care Group Management LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1083143804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 BARCLAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184711",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 E Preston St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212023922",
            "country_code": "US",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E Lorraine Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212184712",
            "country_code": "US",
            "telephone_number": "410-617-0124",
            "fax_number": "443-873-6975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 Brentwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212024203",
            "country_code": "US",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212185304",
            "country_code": "US",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 E 26th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212184703",
            "country_code": "US",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "667-239-3205",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCG management, LLC",
            "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 Mar 17, 2018; 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.