Organization Active NPI

Kings Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1407634140
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KINGS RECOVERY LLC
Doing business as
King's Recovery Llc
Practice address
4805 Belair Rd
Baltimore, MD 21206-5768
Phone
(410) 215-1111
NPI assigned
Sep 14, 2023
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Andre Matthews
Title
Owner
Phone
(410) 215-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

4805 Belair Rd
Baltimore, MD 21206-5768

Mailing address

1711 E Federal St
Baltimore, MD 21213-3106
Phone (410) 215-1111

Other practice location 1

1711 E Federal St
Baltimore, MD 21213-3106
Phone (410) 215-1111

Other names 1

  • King's Recovery Llc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
King's Recovery 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.

Locations

1713 E Federal St
Baltimore, MD 21213
Phone (410) 215-1111

4805 Belair Rd
Baltimore, MD 21206
Phone (410) 215-1111

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1407634140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E FEDERAL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133106",
            "telephone_number": "410-215-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065768",
            "telephone_number": "410-215-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 E Federal St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212133106",
            "country_code": "US",
            "telephone_number": "410-215-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-215-1111"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Recovery Llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "King's Recovery Llc",
            "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 Jun 8, 2026; 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.