Active NPI
Reward Health Services, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Baltimore, MD
National Provider Identifier
1235378399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 4080
- Legal business name
- REWARD HEALTH SERVICES, LLC
- Practice address
- 2530 N Charles St
Suite 300
Baltimore, MD 21218-4640 - Phone
- (443) 708-4854
- Fax
- (443) 708-4857
- NPI assigned
- Feb 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Isaac Abioye Olasupo
- Title
- Ceo
- Phone
- (443) 708-4854
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 409426300 | MD | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 4080 | MD | Primary |
Addresses
Primary practice location
2530 N Charles St
Suite 300
Baltimore, MD 21218-4640
Mailing address
2530 N Charles St
Suite 300
Baltimore, MD 21218-4640
Phone (443) 708-4854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408449700 | Medicaid | MD | |
| 4080 | Other | MD | DHMH (MARYLAND) PRP APPROVAL LICENSE NO |
National Provider Directory
National Provider Directory- Tax ID family
- Reward Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Baltimore, MD
- NPI 1093955528
Locations
2530 N Charles St
Ste 300
Baltimore, MD 21218
Phone (443) 708-4854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256169600000",
"number": "1235378399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 N CHARLES ST",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184640",
"telephone_number": "443-708-4854",
"fax_number": "443-708-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 N CHARLES ST",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184640",
"telephone_number": "443-708-4854",
"fax_number": "443-708-4857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REWARD HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-13",
"last_updated": "2009-10-22",
"status": "A",
"authorized_official_last_name": "OLASUPO",
"authorized_official_first_name": "ISAAC",
"authorized_official_middle_name": "ABIOYE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-708-4854",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MD",
"license": "409426300",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MD",
"license": "4080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408449700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHMH (MARYLAND) PRP APPROVAL LICENSE NO",
"identifier": "4080",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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- Lori Beth Revitz, LCSW-C
- Revolution Rehabilitation and Sports Perforamance LLC
- Reward Health Services, LLC
- Reward Health Services, LLC
- Reward Health Services, LLC
- Reward Staffing Solutions
- Rey of Hope Phase Program, LLC
- Diane K Reyes-Dagher
- Alexander Cezar Cardeno Reyes, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.