Active NPI
Concerted Care Group Baltimore, LLC
- Case Management Agency
- Baltimore, MD
National Provider Identifier
1487059531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CONCERTED CARE GROUP BALTIMORE, LLC
- Practice address
- 428 E. 25TH Street
Baltimore, MD 21218 - Phone
- (240) 813-9867
- NPI assigned
- Oct 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keonna Armstrong
- Title
- VP of Revenue Cycle Management
- Phone
- (240) 813-9867
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Case Management Agency | 251B00000X | MD | Primary |
Addresses
Primary practice location
428 E. 25TH Street
Baltimore, MD 21218
Mailing address
428 E. 25TH Street
Baltimore, MD 21218
Phone (240) 813-9867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191113002904 | MD | Part B Supplier - Opioid Treatment Program (Otp) | 0345672382 | Practice locations: Baltimore, MD |
National Provider Directory
National Provider Directory- Tax ID family
- Concerted Care Group Baltimore LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Clinic/Center
- Baltimore, MD
- NPI 1235520420
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1184235848
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1447655410
-
- Home Health Agency
- Baltimore, MD
- NPI 1477958346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1487059531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 E. 25TH STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21218",
"telephone_number": "240-813-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E. 25TH STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21218",
"telephone_number": "240-813-9867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCERTED CARE GROUP BALTIMORE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-31",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "ARMSTRONG",
"authorized_official_first_name": "KEONNA",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "240-813-9867"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Concentra Health Services, Inc.
- Concentric Wholeness Solutions
- Lourdes Dianne Concepcion Caban, PHD
- Concerted Care Group Baltimore Substance Use Services
- Concerted Care Group Baltimore, LLC
- Concerted Care Group Brooklyn
- Concerted Care Group Brooklyn LLC
- Concerted Care Group Brooklyn LLC
- Concerted Care Group Management LLC
- Concerted Care Group Management LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.