NPIMap

Organization Active NPI

Glass Health Programs, Inc.

  • Methadone Clinic
  • Towson, MD
National Provider Identifier
1497464648
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
GLASS HEALTH PROGRAMS, INC.
Practice address
720 Bosley Ave
Towson, MD 21204-4011
Phone
(667) 335-1338
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Bruce Jarvie
Title
VP, Treasurer
Phone
(214) 379-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

720 Bosley Ave
Towson, MD 21204-4011

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (469) 470-4783

Other names 1

  • MedMark Treatment Centers-BC Detention Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MedMarkTreatment Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2297101Glass Health Programs Inc720 Bosley Avenue, Towson, MD 21204Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Glass Health Programs Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

720 Bosley Ave
Towson, MD 21204
Phone (410) 512-3200

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1497464648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "469-470-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BOSLEY AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044011",
            "telephone_number": "667-335-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS HEALTH PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MedMarkTreatment",
            "affiliation": "N",
            "endpointDescription": "BC Detention Ctr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "720 Bosley Ave",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212044011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MedMark Treatment Centers-BC Detention Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedMark Treatment Centers-BC Detention Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.