NPIMap

Organization Active NPI

Concerted Care Group Baltimore Substance Use Services

  • Community Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1235520420
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
251B00000X Issued in MD
Legal business name
CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES
Practice address
428 E 25TH St
Baltimore, MD 21218-5304
Phone
(240) 813-9867
NPI assigned
Feb 10, 2015
Organization subpart
Yes
Parent organization
CCG MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Keonna Armstrong
Title
VP of Revenue Cycle Management
Phone
(240) 813-9867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 251B00000X MD Primary

Addresses

Primary practice location

428 E 25TH St
Baltimore, MD 21218-5304

Mailing address

428 E 25TH St
Baltimore, MD 21218-5304
Phone (240) 813-9867

National Provider Directory

National Provider Directory
Tax ID family
Concerted Care Group Baltimore LLC5 organizations share this tax ID, including this one
Part of
Concerted Care Group Management LLC

Other organizations with this tax ID 4

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": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1235520420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "240-813-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "240-813-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG MANAGEMENT LLC",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KEONNA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "240-813-9867"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "251B00000X",
            "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 Aug 20, 2024; 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.