Organization Active NPI

Borderless Healthcare Services, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1568062099
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BORDERLESS HEALTHCARE SERVICES, LLC
Practice address
1900 E Northern Pkwy Ste 308
Baltimore, MD 21239-2111
Phone
(443) 540-0779
Fax
(443) 388-8935
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Mr. Uchenna EkwonyeNPI 1679991822
Title
Ceo/Program Director
Phone
(443) 540-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1900 E Northern Pkwy Ste 308
Baltimore, MD 21239-2111

Mailing address

1900 E Northern Pkwy Ste 308
Baltimore, MD 21239-2111
Phone (443) 869-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421000021 MD Part B Supplier - Clinic/Group Practice 9234654559 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1900 E Northern Pkwy
Ste 308
Baltimore, MD 21239
Phone (443) 543-0779

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1568062099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392111",
            "telephone_number": "443-869-2008",
            "fax_number": "443-388-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392111",
            "telephone_number": "443-540-0779",
            "fax_number": "443-388-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDERLESS HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "EKWONYE",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-540-0779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.