NPIMap

Organization Active NPI

Jr Health Care Associates, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1689042541
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
905861 Issued in MD
Legal business name
JR HEALTH CARE ASSOCIATES, LLC
Doing business as
Behavioral Health Clininc (BHC)
Practice address
2310 N Charles St
Baltimore, MD 21218-5127
Phone
(410) 844-4110
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Nag Nelluri
Title
President
Phone
(443) 995-4113

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 905861 MD Primary
Health Service Clinic/Center 261QH0100X 905861 MD
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH-1846 MD
Adult Mental Health Clinic/Center 261QM0850X MH-1846 MD
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH-1846 MD
Rehabilitation Clinic/Center 261QR0400X MH-1962 MD
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MH-1962 MD
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 905861 MD

Addresses

Primary practice location

2310 N Charles St
Baltimore, MD 21218-5127

Mailing address

2310 N Charles St
Baltimore, MD 21218-5127
Phone (410) 844-4110

Other identifiers 4

IdentifierTypeStateIssuer
1689042541OtherMDNPI NUMBER #
4239041-00MedicaidMD
4233417-00MedicaidMD
1053719575OtherMDNPI NUMBER

Other names 1

  • Behavioral Health Clininc (BHC) Doing business as

National Provider Directory

National Provider Directory

Locations

2310 N Charles St
Baltimore, MD 21218
Phone (410) 779-3102

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1689042541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-844-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-844-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR HEALTH CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "NELLURI",
        "authorized_official_first_name": "NAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-995-4113"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905861",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "905861",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH-1846",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "MH-1846",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "MH-1846",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": "MH-1962",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "MH-1962",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "905861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER #",
            "identifier": "1689042541",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4239041-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4233417-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1053719575",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Clininc (BHC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 2016; 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.