Organization Active NPI

Purpose Health LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Elkton, MD
National Provider Identifier
1093331639
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
PURPOSE HEALTH LLC
Practice address
101 Chesapeake Blvd
Elkton, MD 21921-6607
Phone
(410) 398-0590
Fax
(443) 240-3838
NPI assigned
Jun 19, 2020
Last updated
Jun 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Mary Halsey
Title
Administrator
Phone
(443) 553-0057

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X
Addiction Medicine (Preventive Medicine) Physician 2083A0300X Primary

Addresses

Primary practice location

101 Chesapeake Blvd
Elkton, MD 21921-6607

Mailing address

101 Chesapeake Blvd
Elkton, MD 21921-6607
Phone (410) 398-0590

Other identifiers 1

IdentifierTypeStateIssuer
1043323827MedicaidMD

National Provider Directory

National Provider Directory

Locations

101 Chesapeake Blvd
Elkton, MD 21921
Phone (301) 498-0384

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1093331639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216607",
            "telephone_number": "410-398-0590",
            "fax_number": "443-240-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216607",
            "telephone_number": "410-398-0590",
            "fax_number": "443-240-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "HALSEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-553-0057"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043323827",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.