Organization Active NPI

Unlimited Bounds Human Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1205338787
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
BH000313 Issued in MD
Legal business name
UNLIMITED BOUNDS HUMAN SERVICES LLC
Doing business as
unlimited bounds human services llc
Practice address
4200 Pennington Ave
Baltimore, MD 21226-1324
Phone
(443) 449-5135
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Mr. Markis Johnson
Title
Ceo
Phone
(443) 449-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X BH000313 MD Primary

Addresses

Primary practice location

4200 Pennington Ave
Baltimore, MD 21226-1324

Mailing address

1109 Dulaney Gate Cir
Cockeysville, MD 21030-3012
Phone (443) 764-9551

Other names 1

  • unlimited bounds human services llc Doing business as

National Provider Directory

National Provider Directory

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": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1205338787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 DULANEY GATE CIR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303012",
            "telephone_number": "443-764-9551",
            "fax_number": "443-449-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PENNINGTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212261324",
            "telephone_number": "443-449-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED BOUNDS HUMAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARKIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-449-5135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "BH000313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "unlimited bounds human services llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "unlimited bounds human services llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 3, 2023; 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.