NPIMap

Organization Active NPI

Bel Air Recovery Center, LLC

  • Methadone Clinic
  • Bel Air, MD
National Provider Identifier
1396300398
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
BEL AIR RECOVERY CENTER, LLC
Practice address
2014 S Tollgate Rd Ste 106
Bel Air, MD 21015-5906
Phone
(443) 402-0612
Fax
(443) 402-1381
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Michael Kratz Jr.
Title
Cfo
Phone
(410) 925-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

2014 S Tollgate Rd Ste 106
Bel Air, MD 21015-5906

Mailing address

1344 Goose Neck Rd
Middle River, MD 21220-4027
Phone (410) 925-3514

National Provider Directory

National Provider Directory
Tax ID family
Bel Air Recovery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1396300398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 GOOSE NECK RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204027",
            "telephone_number": "410-925-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S TOLLGATE RD STE 106",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155906",
            "telephone_number": "443-402-0612",
            "fax_number": "443-402-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL AIR RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-925-3514",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.