Organization Active NPI

Ruby Road LLC

  • Community/Behavioral Health Agency
  • Bel Air, MD
National Provider Identifier
1295142172
Registry record updated Jul 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RUBY ROAD LLC
Practice address
260 Gateway Dr
Suite 3-4B
Bel Air, MD 21014-4268
Phone
(443) 990-1522
NPI assigned
Jul 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2014

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

Authorized official

Name
Ms. Susan Rogers
Title
Owner
Phone
(443) 990-1522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

260 Gateway Dr
Suite 3-4B
Bel Air, MD 21014-4268

Mailing address

260 Gateway Dr
Suite 3-4B
Bel Air, MD 21014-4268

National Provider Directory

National Provider Directory

Locations

260 Gateway Dr
Ste 34B
Bel Air, MD 21014
Phone (410) 838-9558

NPI Registry JSON

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405123200000",
    "number": "1295142172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR",
            "address_2": "SUITE 3-4B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR",
            "address_2": "SUITE 3-4B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268",
            "telephone_number": "443-990-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-12",
        "last_updated": "2014-07-12",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-990-1522",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; 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.