NPIMap

Organization Active NPI

JK Health Systems LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1558073668
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JK HEALTH SYSTEMS LLC
Practice address
3620 S Hanover St
Baltimore, MD 21225-1705
Phone
(410) 354-2200
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Olaninkan Olaseha
Title
Ceo
Phone
(443) 579-6044

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3620 S Hanover St
Baltimore, MD 21225-1705

Mailing address

3620 S Hanover St
Baltimore, MD 21225-1705
Phone (443) 769-0897

Other identifiers 2

IdentifierTypeStateIssuer
1508520602MedicaidMD
1619430550MedicaidMD

Other names 1

  • JK HEALTH SYTEMS LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JK Health Systems LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1558073668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251705",
            "telephone_number": "443-769-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251705",
            "telephone_number": "410-354-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "OLASEHA",
        "authorized_official_first_name": "OLANINKAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-579-6044"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508520602",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619430550",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JK HEALTH SYTEMS LLC",
            "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 Dec 20, 2022; 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.