Caresource LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

R079776 Issued in MD

Legal business name

CARESOURCE LLC

Practice address

9114 Philadelphia Rd
Baltimore, MD 21237-4345

Phone

(410) 391-2627

Fax

(443) 320-0285

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Uland

Title

Resource

Phone

(410) 391-2627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1689908048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374345",
            "telephone_number": "410-391-2627",
            "fax_number": "443-320-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "ULAND",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "RESOURCE",
        "authorized_official_telephone_number": "410-391-2627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "R079776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Acute Care Hospital in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.