Organization Active NPI

Johmab Family Preservation Services

  • Public Health or Welfare Agency
  • Baltimore, MD
National Provider Identifier
1316989908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
9642 Issued in MD
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.