NPIMap

Organization Active NPI

Tuerk House, Inc

  • Methadone Clinic
  • Baltimore, MD
National Provider Identifier
1174291207
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
TUERK HOUSE, INC
Practice address
730 N Ashburton St
Baltimore, MD 21216-4703
Phone
(667) 212-3626
NPI assigned
Sep 2, 2021
Organization subpart
Yes
Parent organization
TUERK HOUSE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Vanessa Lyle
Title
Billing Manager
Phone
(667) 212-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

730 N Ashburton St
Baltimore, MD 21216-4703

Mailing address

2701 N Charles St
Baltimore, MD 21218-4351
Phone (667) 212-3626

Other identifiers 1

IdentifierTypeStateIssuer
210511066OtherMDBHA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KIPU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since Mar 23, 2025

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250605001681 MD Part B Supplier - Opioid Treatment Program (Otp) 5395827539 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Tuerk House Inc33 organizations share this tax ID, including this one
Part of
Tuerk House Inc

Other organizations with this tax ID 32

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

View all 32

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2701 N Charles St
Baltimore, MD 21218
Phone (410) 261-8800

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1174291207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184351",
            "telephone_number": "667-212-3626",
            "fax_number": "443-708-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164703",
            "telephone_number": "667-212-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUERK HOUSE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUERK HOUSE, INC",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "667-212-3626"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHA",
            "identifier": "210511066",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KIPU",
            "affiliation": "N",
            "address_1": "730 N Ashburton St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212164703",
            "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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.