NPIMap

Organization Active NPI

CMDS Community Health, LLC

  • Methadone Clinic
  • Baltimore, MD
National Provider Identifier
1255087300
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CMDS COMMUNITY HEALTH, LLC
Practice address
2401 E North Ave
Baltimore, MD 21213-1517
Phone
(443) 864-4027
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Andre Pelegrini
Title
Director Finance
Phone
(410) 675-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

2401 E North Ave
Baltimore, MD 21213-1517

Mailing address

8115 Maple Lawn Blvd Ste 200
Fulton, MD 20759-2684
Phone (141) 086-8563

National Provider Directory

National Provider Directory
Tax ID family
CMDS Community Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8115 Maple Lawn Blvd
Ste 200
Fulton, MD 20759

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1255087300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 200",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592684",
            "telephone_number": "141-086-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131517",
            "telephone_number": "443-864-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMDS COMMUNITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "PELEGRINI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "DIRECTOR FINANCE",
        "authorized_official_telephone_number": "410-675-2113"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "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 Feb 28, 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.