B'More Clubhouse Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

B'MORE CLUBHOUSE INC

Practice address

831 N Calvert St
Baltimore, MD 21202-3705

Phone

(410) 727-2030

NPI assigned

May 29, 2019

Last updated

May 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Woody

Title

Executive Director

Phone

(410) 727-2030

Specialties & licenses 1

Addresses

Tax ID family

B'More Clubhouse 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.

• B'More Clubhouse Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1659864437
  NPD tax ID

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1265090963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023705",
            "telephone_number": "410-727-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023705",
            "telephone_number": "410-727-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B'MORE CLUBHOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-727-2030"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• B.W.Medical Supply Co.,Inc.
• B.Well Connected Health, Inc.
• B'More Clubhouse Inc
• B'More Empowered Center
• B'More Mental Health and Wellness, LLC
• B'More Mental Health and Wellness, LLC
• B'More Milky, LLC

• 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 May 19, 2021; 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.