Organization Active NPI

Mulberry2133Llc

  • Recovery Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1164155602
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
MULBERRY2133LLC
Practice address
2133 W Mulberry St
Baltimore, MD 21223-1123
Phone
(410) 521-7874
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Harpreet SuriNPI 1174254825
Title
Director
Phone
(410) 521-7874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

2133 W Mulberry St
Baltimore, MD 21223-1123

Mailing address

2133 W Mulberry St
Baltimore, MD 21223-1123
Phone (410) 521-7874

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Suri@nuleafrecovery.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: suri@nuleafrecovery.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1164155602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 W MULBERRY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231123",
            "telephone_number": "410-521-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 W MULBERRY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231123",
            "telephone_number": "410-521-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY2133LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-521-7874"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Suri@nuleafrecovery.com",
            "affiliation": "N",
            "address_1": "2133 W Mulberry St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212231123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 8, 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.