NPIMap

Organization Active NPI

Goodwill Industries of the Chesapeake, Inc

Doing business as STEP Division of Goodwill

  • Local Education Agency (LEA)
  • Baltimore, MD
National Provider Identifier
1336349828
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC
Doing business as
STEP Division of Goodwill
Practice address
222 E Redwood St
Baltimore, MD 21202-3312
Phone
(410) 625-1877
Fax
(443) 873-1082
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Mr. Ryan Smith
Title
Vice President of WFD
Phone
(410) 837-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

222 E Redwood St
Baltimore, MD 21202-3312

Mailing address

1609 Druid Hill Ave FL 3
Baltimore, MD 21217-3427
Phone (410) 837-1800

Other identifiers 1

IdentifierTypeStateIssuer
408858100MedicaidMD

Other names 2

  • STEP Division of Goodwill Doing business as
  • STEP Division Other name

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Industries of the Chesapeake Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

32 South St
Fl 1
Baltimore, MD 21202

222 E Redwood St
Baltimore, MD 21202
Phone (410) 625-1877

32 South St
Baltimore, MD 21202

1609 Druid Hill Ave
Fl 3
Baltimore, MD 21217

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1336349828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 DRUID HILL AVE FL 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173427",
            "telephone_number": "410-837-1800",
            "fax_number": "410-837-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E REDWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023312",
            "telephone_number": "410-625-1877",
            "fax_number": "443-873-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF WFD",
        "authorized_official_telephone_number": "410-837-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408858100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEP Division of Goodwill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STEP Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 30, 2023; 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.