NPIMap

Organization Active NPI

Mine Healthcare Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1104603232
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINE HEALTHCARE SERVICES, LLC
Practice address
3421 Benson Ave Ste 200
Baltimore, MD 21227-1064
Phone
(410) 709-1010
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Cynthia Roberson
Title
Program Assistant
Phone
(240) 462-6947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3421 Benson Ave Ste 200
Baltimore, MD 21227-1064

Mailing address

3421 Benson Ave Ste 200
Baltimore, MD 21227-1064
Phone (410) 709-1010

National Provider Directory

National Provider Directory
Tax ID family
Mine Healthcare Services LLC4 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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1104603232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271064",
            "telephone_number": "410-709-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271064",
            "telephone_number": "410-709-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PROGRAM ASSISTANT",
        "authorized_official_telephone_number": "240-462-6947"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 3, 2024; 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.