NPIMap

Organization Active NPI

South Baltimore C.a.P.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1083949895
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
903613 Issued in MD
Legal business name
SOUTH BALTIMORE C.A.P.
Doing business as
safe house
Practice address
1435 S Hanover St
Baltimore, MD 21230-4438
Phone
(410) 385-1466
Fax
(410) 385-1466
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Ms. Shirley Rose, CCDC
Title
Executive Director
Phone
(410) 385-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 903613 MD Primary

Addresses

Primary practice location

1435 S Hanover St
Baltimore, MD 21230-4438

Mailing address

7 W Randall St
Baltimore, MD 21230-4429
Phone (410) 385-1466

Other names 1

  • safe house Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Baltimore Cap Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1083949895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W RANDALL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304429",
            "telephone_number": "410-385-1466",
            "fax_number": "410-385-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304438",
            "telephone_number": "410-385-1466",
            "fax_number": "410-385-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BALTIMORE C.A.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-385-1466",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "903613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "safe house",
            "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 Oct 13, 2009; 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.