NPIMap

Organization Active NPI

Divine Mercy, Inc.

  • Methadone Clinic
  • Baltimore, MD
National Provider Identifier
1396450508
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
DIVINE MERCY, INC.
Practice address
1721 Pennsylvania Ave
Baltimore, MD 21217-3119
Phone
(410) 685-2830
NPI assigned
Jan 23, 2023
Organization subpart
Yes
Parent organization
DIVINE MERCY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Mercy Johnson
Title
Clinical Social Worker
Phone
(410) 685-2830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1721 Pennsylvania Ave
Baltimore, MD 21217-3119

Mailing address

1721 Pennsylvania Ave
Baltimore, MD 21217-3119
Phone (410) 685-2830

Other names 1

  • Beacon of Hope Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since Aug 15, 2024

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241016000031 MD Part B Supplier - Opioid Treatment Program (Otp) 1153601067 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Divine Mercy Inc11 organizations share this tax ID, including this one
Part of
Divine Mercy Inc

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1396450508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173119",
            "telephone_number": "410-685-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173119",
            "telephone_number": "410-685-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE MERCY, INC.",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "410-685-2830"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon of Hope Wellness Center",
            "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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.