Winchester House LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WINCHESTER HOUSE LLC

Practice address

2940 Ellicott Dr
Baltimore, MD 21216-4234

Phone

(410) 624-7111

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Kambiz Moradian

Title

Director

Phone

(410) 484-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1588474274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 SMITH AVE STE 148",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091426",
            "telephone_number": "410-484-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 ELLICOTT DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164234",
            "telephone_number": "410-624-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "MORADIAN",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-484-8500"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wince
• Winchester Health LLC
• Winchester Health LLC
• Winchester Health LLC
• Winchester Health LLC
• Aniya Winchester
• Kimberly Anne Winchester, MS, CCC-SLP
• Patricia Winchild, LCSW-C
• Wind Gate Wellness, LLC
• Ibiyinka Windapo, FNP

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.