R.a Burrell Enterprises LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

R.A BURRELL ENTERPRISES LLC

Doing business as

A Safe Space Mental Health Services

Practice address

2308 Whittier Ave
Baltimore, MD 21217-5280

Phone

(410) 814-8956

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By 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

Rasheeah Burrell

Title

Ceo

Phone

(410) 814-8956

Specialties & licenses 1

Addresses

Other names 1

• A Safe Space Mental Health Services Doing business as

Tax ID family

A Safe Space Mental Health Services2 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.

• R.a Burrell Enterprises LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1871434035
  NPD tax ID

Locations

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1275357824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 YORK RD STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124726",
            "telephone_number": "410-814-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 WHITTIER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212175280",
            "telephone_number": "410-814-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.A BURRELL ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "RASHEEAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-814-8956"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Safe Space Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imran Qureshi
• Jessica Deenah Maharaj Qureshi, MA, LCPC, NCC
• Sara Abdullah Abdulhalim Qutaishat
• R & R Cares, LLC
• R Wright Optical II Inc
• R.a Burrell Enterprises LLC
• R&H Health Management (R&H Community Services)
• R&S Home Care, Inc (Pikesville Residential Agency)
• Brandon Michael Raab, CRNP
• Eric Hutton Raabe, M.D.

• Mental Illness Community Based Residential Treatment Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Illness Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.