NPIMap

Organization Active NPI

Shedrick Family Wellness

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1154046837
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SHEDRICK FAMILY WELLNESS
Practice address
7000 Harford Rd
Baltimore, MD 21234-7704
Phone
(443) 438-5612
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Beatrice Shedrick
Title
Ceo
Phone
(443) 438-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7000 Harford Rd
Baltimore, MD 21234-7704

Mailing address

7000 Harford Rd
Baltimore, MD 21234-7704
Phone (443) 438-5612

Other practice location 1

6628 Harford Rd
Baltimore, MD 21214-1357
Phone (443) 438-5612

Other identifiers 1

IdentifierTypeStateIssuer
99821700MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Shedrick Family Wellness Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

7000 Harford Rd
Baltimore, MD 21234
Phone (443) 438-5612

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1154046837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347704",
            "telephone_number": "443-438-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347704",
            "telephone_number": "443-438-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6628 Harford Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212141357",
            "country_code": "US",
            "telephone_number": "443-438-5612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEDRICK FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-438-5612"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99821700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 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.