NPIMap

Organization Active NPI

Beyond Healthcare Associates

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1154964666
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BEYOND HEALTHCARE ASSOCIATES
Practice address
1114 N Calvert St
Baltimore, MD 21202-3802
Phone
(443) 869-5867
Fax
(443) 885-9148
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Mr. Ernest Okonkwo, CSC-AD
Title
Director of Operations
Phone
(443) 869-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1114 N Calvert St
Baltimore, MD 21202-3802

Mailing address

1114 N Calvert St
Baltimore, MD 21202-3802
Phone (443) 869-5867

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1154964666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023802",
            "telephone_number": "443-869-5867",
            "fax_number": "443-885-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023802",
            "telephone_number": "443-869-5867",
            "fax_number": "443-885-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "443-869-5867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSC-AD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 9, 2021; 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.