Cityreach Cumberland Men'S Hope Home

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CITYREACH CUMBERLAND MEN'S HOPE HOME

Practice address

220 Arch St
Cumberland, MD 21502-3904

Phone

(240) 803-9556

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Curtis Polaski

Title

Owner

Phone

(240) 803-9556

Specialties & licenses 1

Addresses

Other names 1

• CityReach Cumberland Women's Hope Home Other name

Locations

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1669975728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ARCH ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023904",
            "telephone_number": "240-803-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ARCH ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023904",
            "telephone_number": "240-803-9556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Brookfield Ave",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215023712",
            "country_code": "US",
            "telephone_number": "240-920-9075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITYREACH CUMBERLAND MEN'S HOPE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "POLASKI",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-803-9556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityReach Cumberland Women's Hope Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashlyn Chorpenning
• Florette T Chu, MD
• Stephen S Chu, MD
• Ashley Nicole Chucci, CRNP
• Crystal Ann Church
• Kristine K Claar, OTR L, CHT, CLT
• Becki Clark, CAC-AD
• Colton Lee Clark, LMSW
• Janette Clark, CRNP-AC
• Joshua Clark, RN

• Substance Abuse Rehabilitation Facility in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.