Active NPI
Rise Up Recovery LLC
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1619871001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RISE UP RECOVERY LLC
- Practice address
- 4304 Furley Ave
Baltimore, MD 21206-5735 - Phone
- (443) 267-8107
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Roderick, CSC-AD
- Title
- Coo/Counselor
- Phone
- (443) 752-8048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4304 Furley Ave
Baltimore, MD 21206-5735
Mailing address
1115 Malkus Way
Bel Air, MD 21014-2753
Phone (443) 267-8107
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791849600000",
"number": "1619871001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 MALKUS WAY",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210142753",
"telephone_number": "443-267-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 FURLEY AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212065735",
"telephone_number": "443-267-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE UP RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A",
"authorized_official_last_name": "RODERICK",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "COO/COUNSELOR",
"authorized_official_telephone_number": "443-752-8048",
"authorized_official_credential": "CSC-AD"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.