Organization Active NPI

Wisdom Health Care Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aberdeen, MD
National Provider Identifier
1578196499
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WISDOM HEALTH CARE SERVICES, INC.
Practice address
136 S Philadelphia Blvd
Aberdeen, MD 21001-3203
Phone
(443) 858-2547
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Meckson Abraham
Title
Ceo
Phone
(443) 858-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

136 S Philadelphia Blvd
Aberdeen, MD 21001-3203

Mailing address

9105 Belair Rd
Nottingham, MD 21236-1602
Phone (443) 858-2547

National Provider Directory

National Provider Directory
Tax ID family
Wisdom Health Care Services Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

136 S Philadelphia Blvd
Aberdeen, MD 21001
Phone (443) 858-2547

9105 Belair Rd
Nottingham, MD 21236
Phone (443) 529-1111

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1578196499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361602",
            "telephone_number": "443-858-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S PHILADELPHIA BLVD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013203",
            "telephone_number": "443-858-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MECKSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-858-2547"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

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