NPIMap

Organization Active NPI

Health Care for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1104150754
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH CARE FOR THE HOMELESS, INC
Practice address
9150 Franklin Square Drive
Suite 204
Baltimore, MD 21237-3903
Phone
(443) 777-2300
Fax
(443) 777-2311
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Mr. Kevin Lindamood
Title
President & Ceo
Phone
(410) 837-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MD Primary

Addresses

Primary practice location

9150 Franklin Square Drive
Suite 204
Baltimore, MD 21237-3903

Mailing address

421 Fallsway
Baltimore, MD 21202-4800
Phone (410) 837-5533

Other identifiers 1

IdentifierTypeStateIssuer
211873OtherMDNATIONAL GOVERNMENT SERVICES, INC

Other names 1

  • HCH Baltimore County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081015000700 MD Part A Provider - Federally Qualified Health Center (FQHC) 1456452382 1 other NPI on this enrollment
Practice locations: Baltimore, MD
O20240603001645 MD Part B Supplier - Clinic/Group Practice 1456452382 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD

Federally qualified health center certification: CCN 211873

Legal name
HEALTH CARE FOR THE HOMELESS, INC
Doing business as
HEALTH CARE FOR THE HOMELESS BALTIMORE COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 20, 2009
Last certification
Jan 20, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1986 in MD
Enrollment address
9150 Franklin Square Dr
Ste 301
Baltimore, MD 21237-3903

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Health Care for the Homeless Inc6 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.

Locations

2000 W Baltimore St
Ste 247
Baltimore, MD 21223
Phone (443) 703-1400

111 Park Ave
Baltimore, MD 21201
Phone (410) 837-5533

9100 Franklin Square Dr
Ste 204
Baltimore, MD 21237
Phone (443) 777-2300

9150 Franklin Square Dr
Ste 204
Baltimore, MD 21237
Phone (443) 777-2300

9150 Franklin Square Dr
Ste 301
Baltimore, MD 21237
Phone (443) 703-1468

9100 Franklin Square Dr
Ste 306
Baltimore, MD 21237
Phone (410) 887-0400

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher G Thomaskutty Individual Corporate DirectorBoard Member Jan 23, 2018
Cheryl F Matricciani Individual Corporate DirectorBoard Member Jul 1, 2014
Shawn S Talley Individual Corporate DirectorBoard Member Jan 22, 2019
Steven G Metzger Individual Corporate DirectorBoard Member Jan 1, 2020
Chelsea Arthur Individual Corporate DirectorBoard Member Mar 26, 2019
Stuart M Levine Individual Corporate DirectorBoard Member Jan 23, 2018
Kevin Lindamood Individual Corporate OfficerPresident, Ceo Oct 15, 2011
W-2 Managing EmployeeCeo Jul 1, 2014
Tolu Thomas Individual Corporate Officer Feb 27, 2023
W-2 Managing Employee Jan 17, 2021
Diana L Morris Individual Corporate DirectorBoard Member Jan 23, 2018
Elizabeth E Drigotas Individual Corporate DirectorBoard Member Jan 1, 2020
Michael B Jackson Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2015
Corporate DirectorChair Board Member Dec 9, 2015
Elena D Marcuss Individual Corporate DirectorBoard Member Dec 9, 2015
Shannon M McMahon Individual Corporate DirectorBoard Member Jan 23, 2018
Arin Foreman Individual Corporate DirectorBoard Member Jan 1, 2020
Joanne E Pollak Individual Corporate DirectorBoard Member Jan 23, 2018
Maria Harris-Tildon Individual Corporate DirectorAdvisory Board Member Nov 1, 2007

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1104150754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FALLSWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024800",
            "telephone_number": "410-837-5533",
            "fax_number": "410-837-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 FRANKLIN SQUARE DRIVE",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373903",
            "telephone_number": "443-777-2300",
            "fax_number": "443-777-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE FOR THE HOMELESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "LINDAMOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "410-837-5533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES, INC",
            "identifier": "211873",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCH Baltimore County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.