NPIMap

Organization Active NPI

Concerted Care Group Baltimore, LLC

  • Methadone Clinic
  • Baltimore, MD
National Provider Identifier
1487059531
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
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
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Keonna Armstrong
Title
Sr VP of Revenue Cycle Management
Phone
(240) 813-9867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

428 E. 25TH Street
Baltimore, MD 21218

Mailing address

428 E 25TH St
Baltimore, MD 21218-5304
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 IDStateProvider typePAC IDDetails
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 LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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": "1791936000000",
    "number": "1487059531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "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": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KEONNA",
        "authorized_official_title_or_position": "SR VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "240-813-9867"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 14, 2026; 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.