Phase One Recovery House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

5000000000990548 Issued in MD

Legal business name

PHASE ONE RECOVERY HOUSE

Practice address

2133 Homewood Ave
Baltimore, MD 21218-6104

Phone

(443) 916-2533

NPI assigned

Dec 26, 2016

Organization subpart

No

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

Authorized official

Name

Christopher Henry

Title

Vice President

Phone

(410) 301-9162

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1093250235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 HOMEWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186104",
            "telephone_number": "443-916-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 HOMEWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186104",
            "telephone_number": "443-916-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE ONE RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-26",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-301-9162"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "5000000000990548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacare at Mt Claire LLC
• Pharmacare at Mt. Clare, LLC
• Pharmacare at Park Heights LLC
• Pharmasap Inc
• Bashar Pharoan, MD
• Phase Two Recovery
• Swati D Phatak, MD
• Michael W. Phelan, M.D.
• Deanna Louise Phelps, LCSW-C
• Gary Phelps, CRNA

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.