Time Organization, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH-1146 Issued in MD

Legal business name

TIME ORGANIZATION, INC

Practice address

7310 Ritchie Hwy Ste 100
Glen Burnie, MD 21061-3170

Phone

(434) 704-1082

Fax

(434) 749-0221

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lamont Anthony Ellis, M.ED.

Title

Executive Director

Phone

(434) 250-5784

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1275877870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DRUID PARK DR",
            "address_2": "SUITE A202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158102",
            "telephone_number": "410-225-0062",
            "fax_number": "410-225-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 100",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613170",
            "telephone_number": "434-704-1082",
            "fax_number": "434-749-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME ORGANIZATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-250-5784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-1146",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408791700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421961900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tidewater LLC
• Shannon Liedquist Tieman, CRNP
• Kaitlin Tierney, PT, DPT
• Idaat Bisola Timbo-Jalloh
• Time Organization
• Eileen Bradley Timm, R.N.
• Lauren A Timpson, P.A.-C.
• Ronda B. Tinsley, CAC - AD
• Getnet Alemu Tioum, MD
• Caroline Elizabeth Titus, PHARMD

• Community/Behavioral Health Agency in Glen Burnie, MD
• Providers in Glen Burnie, 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 Jul 8, 2019; 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.