NPIMap

Organization Active NPI

Tuerk House Inc

  • Psychiatric Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1386086361
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
904732 Issued in MD
Legal business name
TUERK HOUSE INC
Doing business as
Tuerk House Inc
Practice address
730 N Ashburton St
Baltimore, MD 21216-4703
Phone
(410) 233-0684
Fax
(410) 233-8540
NPI assigned
Jul 19, 2013
Last updated
Jul 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Mr. John Duberg
Title
Interim Director
Phone
(410) 233-0684

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 904732 MD
Psychiatric Residential Treatment Facility 323P00000X 904732 MD Primary
Substance Abuse Rehabilitation Facility 324500000X 904732 MD

Addresses

Primary practice location

730 N Ashburton St
Baltimore, MD 21216-4703

Mailing address

730 N Ashburton St
Baltimore, MD 21216-4703
Phone (410) 233-0684

Other identifiers 1

IdentifierTypeStateIssuer
024102400MedicaidMD

Other names 1

  • Tuerk House Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tuerk House Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1386086361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164703",
            "telephone_number": "410-233-0684",
            "fax_number": "410-233-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164703",
            "telephone_number": "410-233-0684",
            "fax_number": "410-233-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUERK HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "DUBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "410-233-0684",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": "904732",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MD",
            "license": "904732",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "904732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024102400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuerk House Inc",
            "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 Jul 19, 2013; 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.