NPIMap

Organization Active NPI

Another Chance Recovery Service PHP

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1205441953
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ANOTHER CHANCE RECOVERY SERVICE PHP
Practice address
8203 Harford Rd
Baltimore, MD 21234-5888
Phone
(443) 869-6573
Fax
(443) 835-2710
NPI assigned
Sep 10, 2020
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ANOTHER CHANCE RECOVERY SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Kevin Watkins
Title
Owner
Phone
(443) 804-4731

Specialties & licenses 1

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

Addresses

Primary practice location

8203 Harford Rd
Baltimore, MD 21234-5888

Mailing address

8203 Harford Rd
Baltimore, MD 21234-5888
Phone (443) 869-6573

Other identifiers 1

IdentifierTypeStateIssuer
193564001MedicaidMD

Other names 1

  • Another Chance Recovery Service Other name

National Provider Directory

National Provider Directory
Part of
Another Chance Recovery Service

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1205441953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212345888",
            "telephone_number": "443-869-6573",
            "fax_number": "443-835-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212345888",
            "telephone_number": "443-869-6573",
            "fax_number": "443-835-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE RECOVERY SERVICE PHP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANOTHER CHANCE RECOVERY SERVICE",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-804-4731"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193564001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Another Chance Recovery Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 27, 2021; 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.