Active NPI
Guy L. Eldridge, CSC-AD
- Counselor
- Baltimore, MD
National Provider Identifier
1164402467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SC1224
- Practice address
- Health Care for the Homeless
111 Park Ave
Baltimore, MD 21201 - Phone
- (410) 837-4292
- Fax
- (410) 837-8020
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SC1224 | MD | Primary |
Addresses
Primary practice location
Health Care for the Homeless
111 Park Ave
Baltimore, MD 21201
Mailing address
Health Care for the Homeless
111 Park Ave
Baltimore, MD 21201
Phone (410) 837-5533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC1224 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164402467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HEALTH CARE FOR THE HOMELESS",
"address_2": "111 PARK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-837-5533",
"fax_number": "410-837-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HEALTH CARE FOR THE HOMELESS",
"address_2": "111 PARK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-837-4292",
"fax_number": "410-837-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRIDGE",
"first_name": "GUY",
"middle_name": "L.",
"credential": "CSC-AD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "SC1224",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.