Active NPI
First Base LLC
- Children's Substance Abuse Rehabilitation Facility
- Towson, MD
National Provider Identifier
1114751385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- First Base LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Towson, MD
- NPI 1346021664
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.