NPIMap

Organization Active NPI

Upper Chesapeake/St Joseph Homecare Inc

  • Community Based Hospice Care Agency
  • Baltimore, MD
National Provider Identifier
1356532105
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
H1536 Issued in MD
Legal business name
UPPER CHESAPEAKE/ST JOSEPH HOMECARE INC
Practice address
8003 Corporate Dr
Suite G
Baltimore, MD 21236-4984
Phone
(410) 931-0990
Fax
(410) 931-2144
NPI assigned
Aug 7, 2007
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mr. Jonathan B Binder
Title
Controller
Phone
(410) 931-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X H1536 MD Primary

Addresses

Primary practice location

8003 Corporate Dr
Suite G
Baltimore, MD 21236-4984

Mailing address

8003 Corporate Dr
Suite G
Baltimore, MD 21236-4984
Phone (410) 931-0990

Other identifiers 1

IdentifierTypeStateIssuer
749200600MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Harford Crisis Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8003 Corporate Dr
Ste G
Nottingham, MD 21236
Phone (410) 931-0990

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1356532105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CORPORATE DR",
            "address_2": "SUITE G",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364984",
            "telephone_number": "410-931-0990",
            "fax_number": "410-931-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 CORPORATE DR",
            "address_2": "SUITE G",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364984",
            "telephone_number": "410-931-0990",
            "fax_number": "410-931-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CHESAPEAKE/ST JOSEPH HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "410-931-0990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MD",
            "license": "H1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749200600",
            "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 Oct 16, 2009; 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.