Valley Bridge House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

902165 Issued in MD

Legal business name

VALLEY BRIDGE HOUSE, INC.

Practice address

30 S Broadway
Baltimore, MD 21231

Phone

(410) 675-7765

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin S. Toney

Title

Executive Director

Phone

(410) 675-7765

Specialties & licenses 1

Addresses

Tax ID family

Valley Bridge House Inc2 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.

• Valley Bridge House, Inc.

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Baltimore, MD
  • NPI 1528049384
  NPD tax ID

Locations

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1467830612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311712",
            "telephone_number": "410-675-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21231",
            "telephone_number": "410-675-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY BRIDGE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "TONEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-675-7765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "902165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Angelee Valle
• Paul A Valle Jr., M.D.
• Geneses Vallecillo Serrano
• Jorge Vallecillo, M.D.
• Nina Nicole Vallecillo, RT
• Valley Bridge House, Inc.
• Valley Psychiatry and Wellness Clinic LLC
• Annemarie Vallonga, LCSW-C
• Michael George Valois, PA-C
• Molly Cassella Valois, PA-C

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.