NPIMap

Organization Active NPI

Salvation Multipurpose Community Outreach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1447997275
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SALVATION MULTIPURPOSE COMMUNITY OUTREACH
Practice address
2319 Maryland Ave FL 1
Baltimore, MD 21218-5010
Phone
(443) 438-7610
Fax
(443) 438-7809
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Ayodeji David Olorunsola
Title
President
Phone
(443) 438-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2319 Maryland Ave FL 1
Baltimore, MD 21218-5010

Mailing address

2319 Maryland Ave FL 1
Baltimore, MD 21218-5010
Phone (443) 438-7610

Other names 1

  • Alpha & Omega New Life Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230224001698 MD Part B Supplier - Clinic/Group Practice 8527431394 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Alpha Omega New Life Health Services2 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

2319 Maryland Ave
Baltimore, MD 21218
Phone (443) 438-7610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1447997275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 MARYLAND AVE FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185010",
            "telephone_number": "443-438-7610",
            "fax_number": "443-438-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 MARYLAND AVE FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185010",
            "telephone_number": "443-438-7610",
            "fax_number": "443-438-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION MULTIPURPOSE COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "OLORUNSOLA",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-438-7610"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha & Omega New Life Health Services",
            "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 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.