Reach LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REACH LLC

Practice address

1 N Charles St Ste 222
Baltimore, MD 21201-3710

Phone

(410) 449-1199

Fax

(443) 769-1567

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Ivan A. Forney

Title

Ceo

Phone

(443) 815-1171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REACH Behavorial Health Doing business as

Tax ID family

Reach LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

• Reach LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1376182683
  NPD tax ID
• Reach LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1457121220
  NPD tax ID
• Reach LLC

  • Developmentally Disabled Services Day Training Agency
  • Baltimore, MD
  • NPI 1538845367
  NPD tax ID
• Reach LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1609588896
  NPD tax ID
• Reach LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1689313561
  NPD tax ID
• Reach LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1740829050
  NPD tax ID
• Reach LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1780445635
  NPD tax ID
• Reach, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1811624026
  NPD tax ID
• Reach, LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1891407086
  NPD tax ID

Locations

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1235697293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N CHARLES ST STE 222",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013710",
            "telephone_number": "410-449-1199",
            "fax_number": "443-769-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N CHARLES ST STE 222",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013710",
            "telephone_number": "410-449-1199",
            "fax_number": "443-769-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "FORNEY",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-815-1171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235697293",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REACH Behavorial Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REACH Behavorial Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.