NPIMap

Organization Active NPI

Marian House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1659159341
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MARIAN HOUSE, INC.
Practice address
4105 Old York Rd
Baltimore, MD 21218-1237
Phone
(410) 467-4121
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Katherine Dineen Allston, LCSW-C
Title
Executive Director
Phone
(410) 467-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4105 Old York Rd
Baltimore, MD 21218-1237

Mailing address

949 Gorsuch Ave
Baltimore, MD 21218-3602
Phone (410) 467-4121

National Provider Directory

National Provider Directory
Tax ID family
Marian House Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1659159341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 GORSUCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183602",
            "telephone_number": "410-467-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 OLD YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181237",
            "telephone_number": "410-467-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "ALLSTON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "DINEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-467-4121",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Sep 15, 2023; 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.