NPIMap

Organization Active NPI

Jr Healthcare Associates LLC Dba. Behavioral Health Clinic (BHC)

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1285124339
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-1846 Issued in MD
Legal business name
JR HEALTHCARE ASSOCIATES LLC DBA. BEHAVIORAL HEALTH CLINIC (BHC)
Practice address
2310 N Charles St
Baltimore, MD 21218-5127
Phone
(410) 844-4110
Fax
(410) 741-3008
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Nag Nelluri
Title
President & Ceo
Phone
(443) 995-4113

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-1846 MD Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH-1962 MD
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 905861 MD

Addresses

Primary practice location

2310 N Charles St
Baltimore, MD 21218-5127

Mailing address

2310 N Charles St
Baltimore, MD 21218-5127
Phone (410) 844-4110

Other practice location 1

700 Washington Blvd
Baltimore, MD 21230-2350
Phone (410) 844-4110

Other identifiers 3

IdentifierTypeStateIssuer
9000089-00MedicaidMD
4233417-00MedicaidMD
4239041-00MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1285124339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212302350",
            "country_code": "US",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JR HEALTHCARE ASSOCIATES LLC DBA. BEHAVIORAL HEALTH CLINIC (BHC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "NELLURI",
        "authorized_official_first_name": "NAG",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "443-995-4113"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-1846",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH-1962",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "905861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000089-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4233417-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4239041-00",
            "state": "MD"
        }
    ],
    "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 Jun 16, 2018; 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.