Organization Active NPI

Recovery Center of Baltimore

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1669294278
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RECOVERY CENTER OF BALTIMORE
Practice address
2435 Lakeview Ave
Baltimore, MD 21217-4786
Phone
(667) 777-2001
Fax
(410) 826-3855
NPI assigned
Oct 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Bisrat Mesfin, CRNP-PMH
Title
Ceo
Phone
(512) 947-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2435 Lakeview Ave
Baltimore, MD 21217-4786

Mailing address

11 E Lexington St Ste 100
Baltimore, MD 21202-1732

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1669294278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E LEXINGTON ST STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212021732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 LAKEVIEW AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174786",
            "telephone_number": "667-777-2001",
            "fax_number": "410-826-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTER OF BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MESFIN",
        "authorized_official_first_name": "BISRAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-947-2747",
        "authorized_official_credential": "CRNP-PMH"
    },
    "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 Nov 4, 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.