Organization Active NPI

Precision Healthcare Resources Inc

  • Developmentally Disabled Services Day Training Agency
  • Catonsville, MD
National Provider Identifier
1356799589
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRECISION HEALTHCARE RESOURCES INC
Practice address
4 W Rolling
Suite 13
Catonsville, MD 21228-6280
Phone
(410) 299-5079
NPI assigned
May 27, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Mr. Dennis M Arebamen
Title
Chief Executive Officer
Phone
(410) 299-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MD Primary

Addresses

Primary practice location

4 W Rolling
Suite 13
Catonsville, MD 21228-6280

Mailing address

4 West Rolling Crossroad
Suite 13
Catonsville, MD 21228
Phone (410) 747-4572

Other identifiers 1

IdentifierTypeStateIssuer
524500100MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1356799589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST ROLLING CROSSROAD",
            "address_2": "SUITE 13",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-747-4572",
            "fax_number": "410-747-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W ROLLING",
            "address_2": "SUITE 13",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286280",
            "telephone_number": "410-299-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HEALTHCARE RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "AREBAMEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-299-5079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524500100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.