Active NPI
Johmab Family Preservation Services
- Public Health or Welfare Agency
- Baltimore, MD
National Provider Identifier
1316989908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 9642
- Legal business name
- JOHMAB FAMILY PRESERVATION SERVICES
- Practice address
- 2901 Druid Park Dr
Suite 300
Baltimore, MD 21215-8102 - Phone
- (410) 523-2100
- Fax
- (410) 523-1211
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emmanuel O. Iroanya, MSW
- Title
- Director
- Phone
- (410) 523-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 9642 | MD | Primary |
Addresses
Primary practice location
2901 Druid Park Dr
Suite 300
Baltimore, MD 21215-8102
Mailing address
2901 Druid Park Dr
Suite 300
Baltimore, MD 21215-8102
Phone (410) 523-2100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316989908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 DRUID PARK DR",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212158102",
"telephone_number": "410-523-2100",
"fax_number": "410-523-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 DRUID PARK DR",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212158102",
"telephone_number": "410-523-2100",
"fax_number": "410-523-1211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHMAB FAMILY PRESERVATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IROANYA",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "410-523-2100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MD",
"license": "9642",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.