Organization Active NPI

Rehabilitation Center for Humanity LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1225716681
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
REHABILITATION CENTER FOR HUMANITY LLC
Practice address
4200 Edmondson Ave Ste 103
Baltimore, MD 21229-1600
Phone
(443) 763-1046
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Jamie L Frierson
Title
Coo
Phone
(410) 262-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4200 Edmondson Ave Ste 103
Baltimore, MD 21229-1600

Mailing address

4200 Edmondson Ave Ste 103
Baltimore, MD 21229-1600
Phone (443) 763-1046

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Center for Humanity LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1225716681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVE STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291600",
            "telephone_number": "443-763-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVE STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291600",
            "telephone_number": "443-763-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CENTER FOR HUMANITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "FRIERSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-262-9889"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 6, 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.