Valley Bridge House, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

VALLEY BRIDGE HOUSE, INC.

Practice address

28 S Broadway
Baltimore, MD 21231-1712

Phone

(410) 675-7765

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin S. Toney, CSC-AD

Title

Executive Director

Phone

(410) 675-7765

Specialties & licenses 1

Addresses

Tax ID family

Valley Bridge House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Valley Bridge House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1467830612
  NPD tax ID

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1528049384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311712",
            "telephone_number": "410-675-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311712",
            "telephone_number": "410-675-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY BRIDGE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "TONEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-675-7765",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSC-AD"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Valle Jr., M.D.
• Geneses Vallecillo Serrano
• Jorge Vallecillo, M.D.
• Nina Nicole Vallecillo, RT
• Valley Bridge House, Inc.
• Valley Psychiatry and Wellness Clinic LLC
• Annemarie Vallonga, LCSW-C
• Michael George Valois, PA-C
• Molly Cassella Valois, PA-C
• Alyssa Valotta

• Substance Use Disorder Rehabilitation Hospital Unit in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.