NPIMap

Organization Active NPI

Redeem Healthcare and Medical System Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1699267765
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REDEEM HEALTHCARE AND MEDICAL SYSTEM INC
Practice address
917 N Caroline St
Baltimore, MD 21205-1000
Phone
(410) 522-1030
NPI assigned
Jun 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Ose Kingsley Okojie
Title
Owner
Phone
(443) 629-2435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

917 N Caroline St
Baltimore, MD 21205-1000

Mailing address

917 N Caroline St
Baltimore, MD 21205-1000
Phone (410) 522-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523001542 MD Part B Supplier - Clinic/Group Practice 1355606310 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Redeem Healthcare and Med7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

917 N Caroline St
Baltimore, MD 21205
Phone (410) 522-1030

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1699267765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051000",
            "telephone_number": "410-522-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051000",
            "telephone_number": "410-522-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEM HEALTHCARE AND MEDICAL SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "OKOJIE",
        "authorized_official_first_name": "OSE",
        "authorized_official_middle_name": "KINGSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-629-2435"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Oct 19, 2023; 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.