Active NPI
Department of Health and Mental Hygiene
Doing business as Deers Head
- Long Term Care Hospital
- Baltimore, MD
National Provider Identifier
1356619738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 350017900
- Legal business name
- DEPARTMENT OF HEALTH AND MENTAL HYGIENE
- Doing business as
- Deers Head
- Practice address
- 201 W Preston St
5TH Floor
Baltimore, MD 21201-2301 - Phone
- (410) 767-6062
- Fax
- (410) 333-5399
- NPI assigned
- Dec 13, 2011
- Organization subpart
- Yes
- Parent organization
- STATE OF MARYLAND
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Moses Eriakha
- Title
- Accountant
- Phone
- (410) 767-6003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 350017900 | MD | Primary |
Addresses
Primary practice location
201 W Preston St
5TH Floor
Baltimore, MD 21201-2301
Mailing address
201 W Preston St
5TH Floor
Baltimore, MD 21201-2301
Phone (410) 767-6062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350017900 | Other | MD | SKILLED NURSING FACILITY |
| 352505800 | Medicaid | MD |
Other names 1
- Deers Head
National Provider Directory
National Provider Directory- Tax ID family
- Department of Health and Mental Hygiene
- Part of
- Howard County Health de
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Western Maryland
- Long Term Care Hospital
- Baltimore, MD
- NPI 1164791687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324339200000",
"number": "1356619738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W PRESTON ST",
"address_2": "5TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012301",
"telephone_number": "410-767-6062",
"fax_number": "410-333-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W PRESTON ST",
"address_2": "5TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012301",
"telephone_number": "410-767-6062",
"fax_number": "410-333-5399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF HEALTH AND MENTAL HYGIENE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STATE OF MARYLAND",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-20",
"status": "A",
"authorized_official_last_name": "ERIAKHA",
"authorized_official_first_name": "MOSES",
"authorized_official_title_or_position": "ACCOUNTANT",
"authorized_official_telephone_number": "410-767-6003",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "MD",
"license": "350017900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SKILLED NURSING FACILITY",
"identifier": "350017900",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "352505800",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Deers Head",
"code": "3",
"type": "Doing Business As"
}
]
}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 Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.