Organization Active NPI

Restoration Healthcare Inc.

  • Nursing Care Agency
  • Randallstown, MD
National Provider Identifier
1306124649
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
1006003 Issued in MD
Legal business name
RESTORATION HEALTHCARE INC.
Practice address
8526 Liberty Rd FL 2
Randallstown, MD 21133-4818
Phone
(443) 248-9612
Fax
(410) 496-5028
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Mr. Mathias T Oni
Title
Manager
Phone
(443) 248-9612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 1006003 MD Primary

Addresses

Primary practice location

8526 Liberty Rd FL 2
Randallstown, MD 21133-4818

Mailing address

8526 Liberty Rd FL 2
Randallstown, MD 21133-4818
Phone (443) 248-9612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1306124649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8526 LIBERTY RD FL 2",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334818",
            "telephone_number": "443-248-9612",
            "fax_number": "410-496-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8526 LIBERTY RD FL 2",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334818",
            "telephone_number": "443-248-9612",
            "fax_number": "410-496-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "ONI",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-248-9612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "1006003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.