NPIMap

Organization Active NPI

Vice Prestige Healthcare

  • Substance Abuse Rehabilitation Facility
  • Owings Mills, MD
National Provider Identifier
1194451278
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VICE PRESTIGE HEALTHCARE
Practice address
5 Gwynns Mill CT Ste a
Owings Mills, MD 21117-3529
Phone
(443) 934-8721
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Mrs. Kandice Moore, RN
Title
Owner
Phone
(443) 400-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5 Gwynns Mill CT Ste a
Owings Mills, MD 21117-3529

Mailing address

5 Gwynns Mill CT Ste a
Owings Mills, MD 21117-3529
Phone (443) 400-7240

National Provider Directory

National Provider Directory
Tax ID family
Vice Prestige Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1194451278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GWYNNS MILL CT STE A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173529",
            "telephone_number": "443-400-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GWYNNS MILL CT STE A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173529",
            "telephone_number": "443-934-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICE PRESTIGE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-400-7240",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.