NPIMap

Organization Active NPI

Community Intervention Healthcare Services LLC

Doing business as Cihs

  • Children's Substance Abuse Rehabilitation Facility
  • Pikesville, MD
National Provider Identifier
1205391331
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
COMMUNITY INTERVENTION HEALTHCARE SERVICES LLC
Doing business as
Cihs
Practice address
302 Reisterstown Rd
Pikesville, MD 21208-5312
Phone
(410) 505-0550
NPI assigned
Feb 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Adeleke Ibironke
Title
Ceo/Owner
Phone
(443) 929-3667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

302 Reisterstown Rd
Pikesville, MD 21208-5312

Mailing address

12 Clematis CT
Owings Mills, MD 21117-5032
Phone (443) 929-3667

Other identifiers 1

IdentifierTypeStateIssuer
390014200MedicaidMD

Other names 1

  • CIHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Intervention Healthcare Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1549152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1205391331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLEMATIS CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175032",
            "telephone_number": "443-929-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085312",
            "telephone_number": "410-505-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERVENTION HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "IBIRONKE",
        "authorized_official_first_name": "ADELEKE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "443-929-3667"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390014200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIHS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CIHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.