NPIMap

Organization Active NPI

South Baltinore C.a.P. Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1568443208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
11174 Issued in MD
Legal business name
SOUTH BALTINORE C.A.P. INC.
Practice address
1435 S Hanover St
Baltimore, MD 21230-4438
Phone
(410) 752-2475
Fax
(410) 385-1466
NPI assigned
Nov 9, 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
Ms. Shirley M Rose, CCDC-AD
Title
Executive Director
Phone
(410) 752-2475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 11174 MD Primary

Addresses

Primary practice location

1435 S Hanover St
Baltimore, MD 21230-4438

Mailing address

1435 S Hanover St
Baltimore, MD 21230-4438
Phone (410) 752-2475

National Provider Directory

National Provider Directory
Tax ID family
South Baltimore Cap Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568443208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304438",
            "telephone_number": "410-752-2475",
            "fax_number": "410-385-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304438",
            "telephone_number": "410-752-2475",
            "fax_number": "410-385-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BALTINORE C.A.P. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-752-2475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCDC-AD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "11174",
            "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 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.