NPIMap

Organization Active NPI

Mine Healthcare Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1417645029
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MINE HEALTHCARE SERVICES, LLC
Practice address
3421 Benson Ave Ste 200
Baltimore, MD 21227-1064
Phone
(410) 709-1010
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Mr. Oyekunle Oyeyemi
Title
Ceo
Phone
(301) 768-8009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

3421 Benson Ave Ste 200
Baltimore, MD 21227-1064

Mailing address

3421 Benson Ave Ste 200
Baltimore, MD 21227-1064
Phone (410) 709-1010

National Provider Directory

National Provider Directory
Tax ID family
Mine Healthcare Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1417645029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271064",
            "telephone_number": "410-709-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271064",
            "telephone_number": "410-709-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "OYEYEMI",
        "authorized_official_first_name": "OYEKUNLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-768-8009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 1, 2023; 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.