South Baltimore C.a.P. Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTH BALTIMORE C.A.P. INC.

Doing business as

SAFE House

Practice address

7 W Randall St
Baltimore, MD 21230-4429

Phone

(410) 385-1466

Fax

(410) 752-4772

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH BALTIMORE C.A.P. INC.As reported in NPPES

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

Authorized official

Name

Ms. Melody McCreary, MHS CSC-AD

Title

Director

Phone

(410) 752-2475

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAFE House Doing business as

Tax ID family

South Baltimore Cap4 organizations share this tax ID, including this one

Part of

South Baltimore Cap

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• South Baltimore C.a.P.

  dba safe house

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1083949895
  NPD tax ID
• South Baltimore C.a.P. Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1073037446
  NPD tax ID
• South Baltinore C.a.P. Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1568443208
  NPD tax ID

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1679134316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304438",
            "telephone_number": "410-752-2475",
            "fax_number": "410-752-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W RANDALL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304429",
            "telephone_number": "410-385-1466",
            "fax_number": "410-752-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BALTIMORE C.A.P. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH BALTIMORE C.A.P. INC.",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "MCCREARY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-752-2475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHS CSC-AD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083949895",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFE House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maggi Souris, MS,ATC,CSCS
• Jeffrey H Souryal, MD
• Fotis Gregory Souslian, M.D.
• South Baltimore C.a.P. (safe house)
• South Baltimore C.a.P. Inc.
• South Baltimore Eye Associtate Inc. (Federal Hill Eye Care)
• South Baltinore C.a.P. Inc.
• Nikkita F Southall, M.D.
• Southeast Nursing & Rehabilitation Center
• Vickie Souther, LCSW-C

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, 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 Jun 24, 2019; 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.