NPIMap

Organization Active NPI

Concerted Care Group Management LLC

  • Lodging Provider
  • Baltimore, MD
National Provider Identifier
1154851657
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
CONCERTED CARE GROUP MANAGEMENT LLC
Practice address
1034 Brentwood Ave
Baltimore, MD 21202-4203
Phone
(410) 617-0142
Fax
(443) 873-6975
NPI assigned
Jun 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Authorized official

Name
Barbara Wahl, RN, MA
Title
Coo
Phone
(667) 239-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

1034 Brentwood Ave
Baltimore, MD 21202-4203

Mailing address

428 E 25TH St
Baltimore, MD 21218-5304
Phone (410) 617-0142

Other names 1

  • CCG MANAGMEN, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concerted Care Group Management LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1154851657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 BRENTWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024203",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "667-239-3205",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCG MANAGMEN, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCG MANAGMEN, LLC",
            "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 Jun 16, 2017; 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.