Active NPI
My Father'S Heart, Inc.
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1134967375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MY FATHER'S HEART, INC.
- Practice address
- 4017 Bonner Rd
Baltimore, MD 21216-1207 - Phone
- (410) 245-1644
- NPI assigned
- Jul 19, 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
- Mr. Michael Anthony Wainwright, N/A
- Title
- Executive Director
- Phone
- (410) 245-1644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4017 Bonner Rd
Baltimore, MD 21216-1207
Mailing address
3112 E Biddle St
Baltimore, MD 21213-3920
Phone (410) 245-1644
Other names 1
- My Father's Heart
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1134967375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 E BIDDLE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133920",
"telephone_number": "410-245-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 BONNER RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212161207",
"telephone_number": "410-245-1644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY FATHER'S HEART, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "WAINWRIGHT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "410-245-1644",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "N/A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Father's Heart",
"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 Jul 19, 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.