NPIMap

Organization Active NPI

Jr Healthcare Associates, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1225528896
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
BH000831 Issued in MD
Legal business name
JR HEALTHCARE ASSOCIATES, LLC
Doing business as
Behavioral Health Clinic (BHC)
Practice address
700 Washington Blvd
Baltimore, MD 21230-2350
Phone
(410) 844-4110
Fax
(410) 741-3008
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Lonetta Mason
Title
Qa/Pi Consultant
Phone
(410) 500-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X BH000831 MD Primary

Addresses

Primary practice location

700 Washington Blvd
Baltimore, MD 21230-2350

Mailing address

2310 N Charles St
Baltimore, MD 21218-5127
Phone (410) 844-4110

Other identifiers 1

IdentifierTypeStateIssuer
BH000830OtherMDMARYLAND DEPARTMENT OF HEALTH

Other names 1

  • Behavioral Health Clinic (BHC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Clinic BHC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1225528896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302350",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "LONETTA",
        "authorized_official_title_or_position": "QA/PI CONSULTANT",
        "authorized_official_telephone_number": "410-500-1310"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "BH000831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH",
            "identifier": "BH000830",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Clinic (BHC)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Behavioral Health Clinic (BHC)",
            "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 Jun 16, 2018; 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.