NPIMap

Organization Active NPI

BNJ Health Services LLC Washington Blvd

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1689033375
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BNJ HEALTH SERVICES LLC WASHINGTON BLVD
Practice address
2701 Washington Blvd
Baltimore, MD 21230-1410
Phone
(410) 624-7894
NPI assigned
Feb 23, 2016
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BNJ HEALTH SERVICES LLC WASHINGTON BLVDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Josephine Harris
Title
Owner
Phone
(410) 624-7894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2701 Washington Blvd
Baltimore, MD 21230-1410

Mailing address

2701 Washington Blvd
Baltimore, MD 21230-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since May 7, 2021

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210812000119 MD Part B Supplier - Opioid Treatment Program (Otp) 2264836279 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
BNJ Health SVCS LLC Washing6 organizations share this tax ID, including this one
Part of
BNJ Health SVCS LLC Washing

Other organizations with this tax ID 5

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1689033375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212301410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212301410",
            "telephone_number": "410-624-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNJ HEALTH SERVICES LLC WASHINGTON BLVD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BNJ HEALTH SERVICES LLC WASHINGTON BLVD",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-624-7894"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.