NPIMap

Organization Active NPI

JK Health Systems LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1619430550
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JK HEALTH SYSTEMS LLC
Practice address
3620 S Hanover St
Baltimore, MD 21225-1705
Phone
(443) 579-6044
NPI assigned
Apr 8, 2019
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Olaninkan Olaseha
Title
Ceo
Phone
(443) 579-6044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3620 S Hanover St
Baltimore, MD 21225-1705

Mailing address

3620 S Hanover St
Baltimore, MD 21225-1705
Phone (443) 579-6044

Other names 1

  • JK HEALTH SYSTEMS LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
JK Health Systems LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1619430550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251705",
            "telephone_number": "443-579-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251705",
            "telephone_number": "443-579-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2022-05-19",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "OLASEHA",
        "authorized_official_first_name": "OLANINKAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-579-6044"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JK HEALTH SYSTEMS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 19, 2022; 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.