Organization Active NPI

Still Waters Health Systems LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1598580920
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STILL WATERS HEALTH SYSTEMS LLC
Practice address
3030 Greenmount Ave Ste 150
Baltimore, MD 21218-6935
Phone
(443) 822-2970
NPI assigned
Nov 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Jamiu Ahmed
Title
Owner
Phone
(410) 202-1094

Specialties & licenses 1

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

Addresses

Primary practice location

3030 Greenmount Ave Ste 150
Baltimore, MD 21218-6935

Mailing address

3030 Greenmount Ave Ste 150
Baltimore, MD 21218-6935
Phone (443) 822-2970

National Provider Directory

National Provider Directory
Tax ID family
Still Waters Health Systems LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3030 Greenmount Ave
Ste 150
Baltimore, MD 21218
Phone (410) 202-1094

Practitioners & affiliated clinicians

Practitioners 3

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": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1598580920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186935",
            "telephone_number": "443-822-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186935",
            "telephone_number": "443-822-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JAMIU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-202-1094"
    },
    "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 Nov 20, 2024; 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.