NPIMap

Organization Active NPI

Winners Healthcare Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1306597810
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WINNERS HEALTHCARE SERVICES LLC
Practice address
6600 York Rd Ste 112
Baltimore, MD 21212-2029
Phone
(410) 903-9206
NPI assigned
Jan 17, 2022
Organization subpart
Yes
Parent organization
WINNERS HEALTHCARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Jumoke Fadeke Omisore, NPNPI 1629558572
Title
Medical Director
Phone
(410) 903-9206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

6600 York Rd Ste 112
Baltimore, MD 21212-2029

Mailing address

1529 Winfields LN
Gambrills, MD 21054-1127
Phone (410) 790-9640

Other identifiers 1

IdentifierTypeStateIssuer
799694200MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Winners Healthcare Services2 organizations share this tax ID, including this one
Part of
Winners Healthcare Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1306597810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 WINFIELDS LN",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541127",
            "telephone_number": "410-790-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 112",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122029",
            "telephone_number": "410-903-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNERS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINNERS HEALTHCARE SERVICES, LLC",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "OMISORE",
        "authorized_official_first_name": "JUMOKE",
        "authorized_official_middle_name": "FADEKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-903-9206",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799694200",
            "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 Jan 17, 2022; 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.