NPIMap

Organization Active NPI

Jr Health Care Associates, LLC

  • Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1427404748
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MH-1962 Issued in MD
Legal business name
JR HEALTH CARE ASSOCIATES, LLC
Doing business as
Behavioral Health Clininc (BHC)
Practice address
2310 N Charles St
Baltimore, MD 21218-5127
Phone
(410) 844-4110
Fax
(410) 741-3008
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Mr. Nag Nelluri
Title
President
Phone
(443) 995-4113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MH-1962 MD Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MH-1962 MD

Addresses

Primary practice location

2310 N Charles St
Baltimore, MD 21218-5127

Mailing address

2310 N Charles St
Baltimore, MD 21218-5127
Phone (410) 844-4110

Other identifiers 4

IdentifierTypeStateIssuer
4233417-00MedicaidMD
1689042541OtherMDNPI NUMBER (MH)
1053719575OtherMDNPI NUMBER (CD)
4239041-00MedicaidMD

Other names 1

  • Behavioral Health Clininc (BHC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Clinic BHC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1427404748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-844-4110",
            "fax_number": "410-741-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR HEALTH CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "NELLURI",
        "authorized_official_first_name": "NAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-995-4113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": "MH-1962",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "MH-1962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4233417-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER (MH)",
            "identifier": "1689042541",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER (CD)",
            "identifier": "1053719575",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4239041-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Clininc (BHC)",
            "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 May 5, 2016; 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.