NPIMap

Organization Active NPI

Teekay Healthcare Services Incorporated

  • Developmentally Disabled Services Day Training Agency
  • Baltimore, MD
National Provider Identifier
1487267290
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TEEKAY HEALTHCARE SERVICES INCORPORATED
Practice address
6211 Harford Rd
Baltimore, MD 21214-1314
Phone
(443) 813-7364
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Olaide Olufunke OlamijuwonNPI 1811501828
Title
Ceo
Phone
(443) 813-7364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

6211 Harford Rd
Baltimore, MD 21214-1314

Mailing address

6211 Harford Rd
Baltimore, MD 21214-1314

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1487267290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141314",
            "telephone_number": "443-813-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEKAY HEALTHCARE SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "OLAMIJUWON",
        "authorized_official_first_name": "OLAIDE",
        "authorized_official_middle_name": "OLUFUNKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-813-7364"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6211 Harford Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212141314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 10, 2020; 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.