NPIMap

Organization Active NPI

Tuerk House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1497730204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
10415 Issued in MD
Legal business name
TUERK HOUSE, INC.
Practice address
730 N Ashburton St
Baltimore, MD 21216-6119
Phone
(410) 233-0684
Fax
(410) 233-8540
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John E Hickey, PH.D.
Title
Executive Director
Phone
(410) 233-0684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 10415 MD Primary

Addresses

Primary practice location

730 N Ashburton St
Baltimore, MD 21216-6119

Mailing address

730 N Ashburton St
Baltimore, MD 21216-4703
Phone (410) 233-0684

Other identifiers 1

IdentifierTypeStateIssuer
024102400MedicaidMD

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory
Tax ID family
Tuerk House Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497730204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164703",
            "telephone_number": "410-233-0684",
            "fax_number": "410-233-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212166119",
            "telephone_number": "410-233-0684",
            "fax_number": "410-233-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUERK HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-233-0684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "10415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024102400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 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.