NPIMap

Organization Active NPI

Issaiah House Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1437846623
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ISSAIAH HOUSE INC
Practice address
3808 Eastern Ave
Baltimore, MD 21224-4221
Phone
(443) 882-1943
Fax
(410) 558-6222
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Mr. Darryl Edward Braxton, LCPC 7034 LCADC 1542
Title
Owner
Phone
(144) 388-2194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3808 Eastern Ave
Baltimore, MD 21224-4221

Mailing address

3808 Eastern Ave
Baltimore, MD 21224-4221
Phone (443) 882-1943

Other names 1

  • Issaiah House Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Issaiah House Inc4 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.

Locations

3808 Eastern Ave
Baltimore, MD 21224
Phone (443) 708-3201

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1437846623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244221",
            "telephone_number": "443-882-1943",
            "fax_number": "410-558-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244221",
            "telephone_number": "443-882-1943",
            "fax_number": "410-558-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAIAH HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "144-388-2194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC 7034 LCADC 1542"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaiah House Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 19, 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.