NPIMap

Organization Active NPI

Rey of Hope Phase Program, LLC

  • Substance Abuse Rehabilitation Facility
  • Towson, MD
National Provider Identifier
1104694025
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REY OF HOPE PHASE PROGRAM, LLC
Doing business as
Rey of Hope Phase Program, LLC
Practice address
1502 E Joppa Rd
Towson, MD 21286-5911
Phone
(443) 845-4969
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Jacqueline D Marion, BSW MS
Title
Founder/Director
Phone
(443) 673-8025

Specialties & licenses 1

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

Addresses

Primary practice location

1502 E Joppa Rd
Towson, MD 21286-5911

Mailing address

213 Kenbridge LN
Princeton, NC 27569-9604
Phone (443) 673-8025

Other names 1

  • Rey of Hope Phase Program, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rey of Hope Phase Program 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": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104694025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 KENBRIDGE LN",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275699604",
            "telephone_number": "443-673-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865911",
            "telephone_number": "443-845-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REY OF HOPE PHASE PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARION",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "443-673-8025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW MS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rey of Hope Phase Program, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.