Jael Health Services, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JAEL HEALTH SERVICES, INC.

Practice address

10176 Baltimore National Pike Ste 115
Ellicott City, MD 21042-3651

Phone

(410) 203-2120

Fax

(410) 203-2123

NPI assigned

Dec 17, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Brenda L Vass

Title

Admin./Billing Co-Ordinator

Phone

(410) 203-2120

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jael Health Services 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.

• J.a.E.L. Health Services, Inc.

  • Methadone Clinic
  • Ellicott City, MD
  • NPI 1952438624
  NPD tax ID

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245638683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 BALTIMORE NATIONAL PIKE STE 115",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423651",
            "telephone_number": "410-203-2120",
            "fax_number": "410-203-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 BALTIMORE NATIONAL PIKE STE 115",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423651",
            "telephone_number": "410-203-2120",
            "fax_number": "410-203-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VASS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMIN./BILLING CO-ORDINATOR",
        "authorized_official_telephone_number": "410-203-2120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952438624",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Jackson, LGPC
• Tracie Renee Jackson, RN
• Wayne Jackson, DPT
• Amber Jacobs, MS/CAGS
• Sarah Jacques, LCSW-C
• Renuka Jain
• Arti Jaiswal Balchandani, MD
• Chaitanya Jakleti
• Palwole Jang, L.AC.
• Barbara Ann Jaquette, MSW

• Substance Abuse Rehabilitation Facility in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.