NPIMap

Organization Active NPI

Tuerk House, Inc

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1194205450
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH000896 Issued in MD
Legal business name
TUERK HOUSE, INC
Practice address
5665 Purdue Ave
Baltimore, MD 21239-2802
Phone
(410) 467-5291
Fax
(410) 800-2928
NPI assigned
Aug 16, 2018
Organization subpart
Yes
Parent organization
TUERK HOUSE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Vanessa Lyle
Title
Senior Billing Clerk
Phone
(410) 467-5291

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH000896 MD Primary
Substance Abuse Rehabilitation Facility 324500000X BH000897 MD
Substance Abuse Rehabilitation Facility 324500000X 904734 MD

Addresses

Primary practice location

5665 Purdue Ave
Baltimore, MD 21239-2802

Mailing address

730 N Ashburton St
Baltimore, MD 21216-4703
Phone (410) 467-5291

Other practice location 1

4100 College Ave
Ellicott City, MD 21043-5506
Phone (410) 467-5291 ext. 111

Other practice location 2

2523 Maryland Ave
Baltimore, MD 21218-4511
Phone (410) 467-5291 ext. 111

Other identifiers 3

IdentifierTypeStateIssuer
BH000896OtherMDMARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION
BH000897OtherMDMARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION
902140OtherMDMARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION

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

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1194205450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164703",
            "telephone_number": "410-467-5291",
            "fax_number": "410-800-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 PURDUE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392802",
            "telephone_number": "410-467-5291",
            "fax_number": "410-800-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 College Ave",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210435506",
            "country_code": "US",
            "telephone_number": "410-467-5291 x111",
            "fax_number": "410-800-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2523 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212184511",
            "country_code": "US",
            "telephone_number": "410-467-5291 x111",
            "fax_number": "410-800-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUERK HOUSE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUERK HOUSE INC",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "SENIOR BILLING CLERK",
        "authorized_official_telephone_number": "410-467-5291"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "BH000896",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "BH000897",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "904734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION",
            "identifier": "BH000896",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION",
            "identifier": "BH000897",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION",
            "identifier": "902140",
            "state": "MD"
        }
    ],
    "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 Nov 1, 2018; 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.