NPIMap

Organization Active NPI

Mi Casa Es Su Casa Inc

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1245615418
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MI CASA ES SU CASA INC
Practice address
3921 Old York Rd
Baltimore, MD 21218-1910
Phone
(443) 219-7855
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Ms. Terri Fields, CPAT
Title
Credentialing/Billing Consultant
Phone
(443) 559-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3921 Old York Rd
Baltimore, MD 21218-1910

Mailing address

3921 Old York Rd
Baltimore, MD 21218-1910
Phone (443) 219-7855

National Provider Directory

National Provider Directory
Tax ID family
Mi Casa Es Su Casa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1245615418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 OLD YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181910",
            "telephone_number": "443-219-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 OLD YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181910",
            "telephone_number": "443-219-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA ES SU CASA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING CONSULTANT",
        "authorized_official_telephone_number": "443-559-0405",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPAT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Dec 15, 2015; 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.