NPIMap

Organization Active NPI

The Johns Hopkins Hospital

Doing business as JHH Broadway Center for Addiction Wilson House

  • Mental Illness Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1124591680
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE JOHNS HOPKINS HOSPITAL
Doing business as
JHH Broadway Center for Addiction Wilson House
Practice address
1216 E Baltimore St
Baltimore, MD 21202-4710
Phone
(410) 955-5439
NPI assigned
Jan 8, 2019
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Redonda Miller, MD
Title
President
Phone
(410) 955-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1216 E Baltimore St
Baltimore, MD 21202-4710

Mailing address

911 N Broadway
Baltimore, MD 21205-1119
Phone (410) 955-3007

Other names 1

  • JHH Broadway Center for Addiction Wilson House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johns Hopkins Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

1216 E Baltimore St
Baltimore, MD 21202
Phone (410) 870-5483

601 E Chase St
Baltimore, MD 21202

911 N Broadway
Baltimore, MD 21205
Phone (410) 614-2028

Practitioners & affiliated clinicians

Practitioners 2

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1124591680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051119",
            "telephone_number": "410-955-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024710",
            "telephone_number": "410-955-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNS HOPKINS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "REDONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-955-0620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JHH Broadway Center for Addiction Wilson House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JHH Broadway Center for Addiction Wilson House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2022; 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.