Organization Active NPI

First Base LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Towson, MD
National Provider Identifier
1114751385
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
FIRST BASE LLC
Practice address
920 Providence Rd Ste 407
Towson, MD 21286-2979
Phone
(410) 705-7224
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Marquita Thomas
Title
Ceo
Phone
(443) 683-7696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

920 Providence Rd Ste 407
Towson, MD 21286-2979

Mailing address

920 Providence Rd Ste 407
Towson, MD 21286-2979
Phone (410) 705-7224

Other names 1

  • First Base LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
First Base LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

920 Providence Rd
Ste 407
Towson, MD 21286
Phone (410) 705-7224

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1114751385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PROVIDENCE RD STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862979",
            "telephone_number": "410-705-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PROVIDENCE RD STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862979",
            "telephone_number": "410-705-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST BASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-683-7696"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Base LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "First Base LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 20, 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.