Organization Active NPI

The Joeli Foundation

  • Substance Abuse Rehabilitation Facility
  • Ellicott City, MD
National Provider Identifier
1104651454
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE JOELI FOUNDATION
Practice address
3211 Corporate CT Unit a
Ellicott City, MD 21042-2247
Phone
(443) 633-3177
NPI assigned
Sep 5, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE JOELI FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Sykia Edwards, LMSW, CAC-AD, BASNPI 1093103756
Title
Ceo
Phone
(443) 633-3177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3211 Corporate CT Unit a
Ellicott City, MD 21042-2247

Mailing address

3211 Corporate CT Unit a
Ellicott City, MD 21042-2247
Phone (443) 633-3177

Other practice location 1

3239 Corporate Ct Unit B
Ellicott City, MD 21042-2247
Phone (443) 633-3177

National Provider Directory

National Provider Directory
Tax ID family
The Joeli Foundation2 organizations share this tax ID, including this one
Part of
The Joeli Foundation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3239 Corporate Ct
#B
Ellicott City, MD 21042
Phone (443) 256-3230

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1104651454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 CORPORATE CT UNIT A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422247",
            "telephone_number": "443-633-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 CORPORATE CT UNIT A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422247",
            "telephone_number": "443-633-3177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3239 Corporate Ct Unit B",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210422247",
            "country_code": "US",
            "telephone_number": "443-633-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE JOELI FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE JOELI FOUNDATION",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SYKIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-633-3177",
        "authorized_official_credential": "LMSW, CAC-AD, BAS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.