Active NPI
Patricia's Place Inc
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1497579437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PATRICIA'S PLACE INC
- Doing business as
- Patricia's Place Inc
- Practice address
- 3234 Belair Rd
Baltimore, MD 21213-1228 - Phone
- (301) 979-7501
- Fax
- (301) 979-7638
- NPI assigned
- Nov 14, 2024
- 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
- Mrs. Tiffani A Wilson
- Title
- Ceo
- Phone
- (443) 468-1816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3234 Belair Rd
Baltimore, MD 21213-1228
Mailing address
5006 Ashmans Hope
Gwynn Oak, MD 21207-6500
Phone (301) 979-7501
Other names 1
- Patricia's Place Inc
National Provider Directory
National Provider Directory- Tax ID family
- Patricia's Place Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Point of Service
- Baltimore, MD
- NPI 1053942359
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baltimore, MD
- NPI 1366100760
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1639837164
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1770307746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1497579437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 ASHMANS HOPE",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212076500",
"telephone_number": "301-979-7501",
"fax_number": "301-979-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3234 BELAIR RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212131228",
"telephone_number": "301-979-7501",
"fax_number": "301-979-7638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA'S PLACE INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TIFFANI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-468-1816",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Patricia's Place Inc",
"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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.