Organization Active NPI

Rise Up Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1619871001
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.