Organization Active NPI

Created for Greater Health Systems

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1477219269
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CREATED FOR GREATER HEALTH SYSTEMS
Practice address
5411 Old Frederick Rd Ste 9
Baltimore, MD 21229-2126
Phone
(443) 315-5007
NPI assigned
Nov 16, 2021
Organization subpart
Yes
Parent organization
CREATED FOR GREATER HEALTH SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Lakia Thompson, LCSWC
Title
Ceo
Phone
(443) 315-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5411 Old Frederick Rd Ste 9
Baltimore, MD 21229-2126

Mailing address

5411 Old Frederick Rd Ste 9
Baltimore, MD 21229-2126
Phone (443) 315-5007

Other identifiers 1

IdentifierTypeStateIssuer
200309704MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Created for Greater Health Systems3 organizations share this tax ID, including this one
Part of
Created for Greater Health Systems

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1477219269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD STE 9",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292126",
            "telephone_number": "443-315-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD STE 9",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292126",
            "telephone_number": "443-315-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATED FOR GREATER HEALTH SYSTEMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATED FOR GREATER HEALTH SYSTEMS",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LAKIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-315-5007",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200309704",
            "state": "MD"
        }
    ],
    "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 Nov 16, 2021; 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.