Organization Active NPI

Harvest of Hope Behavioral Health

  • Community Health Clinic/Center
  • Catonsville, MD
National Provider Identifier
1124688833
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
HARVEST OF HOPE BEHAVIORAL HEALTH
Practice address
720 Maiden Choice LN # Condoc
Catonsville, MD 21228-5940
Phone
(443) 334-5732
Fax
(443) 334-5738
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Mrs. Robin Lawrence, BSPNPI 1447731575
Title
Ceo
Phone
(443) 334-5732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

720 Maiden Choice LN # Condoc
Catonsville, MD 21228-5940

Mailing address

720 Maiden Choice LN
Catonsville, MD 21228-5940
Phone (443) 334-5732

Other identifiers 1

IdentifierTypeStateIssuer
1124688833MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012000008 MD Part B Supplier - Clinic/Group Practice 3375941099 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Catonsville, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Harvest of Hope Behavioral Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1124688833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIDEN CHOICE LN",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285940",
            "telephone_number": "443-334-5732",
            "fax_number": "443-334-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIDEN CHOICE LN # CONDOC",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285940",
            "telephone_number": "443-334-5732",
            "fax_number": "443-334-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST OF HOPE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-334-5732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124688833",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.