NPIMap

Organization Active NPI

Blue Door Recovery

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Baltimore, MD
National Provider Identifier
1477233302
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
BLUE DOOR RECOVERY
Doing business as
Blue Door Recovery
Practice address
4200 Pimlico Rd Unit HM
Baltimore, MD 21215-6910
Phone
(141) 029-2589
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Mrs. Tyran Dukes
Title
Owner
Phone
(410) 292-5896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

4200 Pimlico Rd Unit HM
Baltimore, MD 21215-6910

Mailing address

2798 Quantim CT
Manchester, MD 21102-1894
Phone (410) 292-5896

Other names 1

  • Blue Door Recovery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1477233302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2798 QUANTIM CT",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021894",
            "telephone_number": "410-292-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PIMLICO RD UNIT HM",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156910",
            "telephone_number": "141-029-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOOR RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "TYRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-292-5896",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Door Recovery",
            "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 Jul 25, 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.