Active NPI
Reach LLC
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1689313561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- REACH LLC
- Practice address
- 2201 Jefferson St
Baltimore, MD 21205-2406 - Phone
- (410) 449-1199
- NPI assigned
- May 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Forney
- Title
- Ceo
- Phone
- (443) 815-1171
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2201 Jefferson St
Baltimore, MD 21205-2406
Mailing address
1 N Charles St Ste 222
Baltimore, MD 21201-3710
Phone (410) 449-1199
Other practice location 1
511 N Collington Ave
Baltimore, MD 21205-2306
Phone (410) 449-1199
Other practice location 2
2214 Jefferson St
Baltimore, MD 21205-2407
Phone (410) 449-1199
National Provider Directory
National Provider Directory- Tax ID family
- Reach LLC
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1235697293
-
- Children's Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1376182683
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1457121220
-
- Developmentally Disabled Services Day Training Agency
- Baltimore, MD
- NPI 1538845367
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1609588896
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1740829050
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1780445635
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1811624026
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1891407086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1689313561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N CHARLES ST STE 222",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212013710",
"telephone_number": "410-449-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 JEFFERSON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052406",
"telephone_number": "410-449-1199"
}
],
"practiceLocations": [
{
"address_1": "511 N Collington Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212052306",
"country_code": "US",
"telephone_number": "410-449-1199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2214 Jefferson St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212052407",
"country_code": "US",
"telephone_number": "410-449-1199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-31",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "FORNEY",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-815-1171"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"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 Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.