Organization Active NPI

Grant House Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1417304759
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRANT HOUSE INC.
Practice address
4920 Belair Rd Ste 2C&2D
Baltimore, MD 21206-5601
Phone
(410) 732-0236
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Towanda Grant-Cunningham
Title
Executive Director
Phone
(717) 701-7732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4920 Belair Rd Ste 2C&2D
Baltimore, MD 21206-5601

Mailing address

4920 Belair Rd Ste 2C&2D
Baltimore, MD 21206-5601
Phone (410) 732-0236

Other practice location 1

2604 E Preston St
Baltimore, MD 21213-3724
Phone (410) 732-0236

Other identifiers 1

IdentifierTypeStateIssuer
1417304759MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1417304759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 BELAIR RD STE 2C&2D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065601",
            "telephone_number": "410-732-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 BELAIR RD STE 2C&2D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065601",
            "telephone_number": "410-732-0236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2604 E Preston St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212133724",
            "country_code": "US",
            "telephone_number": "410-732-0236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANT HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "GRANT-CUNNINGHAM",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-701-7732"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417304759",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 8, 2019; 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.