Charm City Community Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CHARM CITY COMMUNITY CARE LLC

Practice address

6609 Reisterstown Rd Ste 212
Baltimore, MD 21215-2315

Phone

(410) 622-0969

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chimere Becote

Title

Owner

Phone

(410) 805-9464

Specialties & licenses 3

Addresses

Electronic endpoints 1

Tax ID family

Charm City Community Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Charm City Community Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1881276418
  NPD tax ID

Locations

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1215649470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 REISTERSTOWN RD STE 212",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 REISTERSTOWN RD STE 212",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152315",
            "telephone_number": "410-622-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BECOTE",
        "authorized_official_first_name": "CHIMERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-805-9464"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "care@charmcitycommunitycare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2442 N Charles St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212185113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlestown Community Inc
• Jeneba Lucia Charley, RN
• Charlie's Angel Counseling & Consulting Services, LLC
• John L Charlton III, DPM
• Charm City Behavioral Health
• Charm City Community Care LLC
• Charm City Dui
• Charm City Early Intervention Program
• Charm City Healing LLC
• Charm City Health

• Mental Illness Community Based Residential Treatment Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Illness Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.