Hebron House, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEBRON HOUSE, INC.

Practice address

2300 Garrison Blvd Ste 101
Baltimore, MD 21216-2308

Phone

(410) 233-1990

Fax

(410) 233-1991

NPI assigned

Dec 15, 2006

Last updated

Dec 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matanmi Olusesan Kuforiji, LCSW-CNPI 1083279343

Title

Program Director

Phone

(410) 233-1990

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matanmi Olusesan Kuforiji, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1083279343
  Authorized official Same address or phone
• Abimbola Kuforiji, CRNP-PMH

  • Psychiatric/Mental Health Registered Nurse
  • Baltimore, MD
  • NPI 1225917388
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1699837526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162308",
            "telephone_number": "410-233-1990",
            "fax_number": "410-233-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162308",
            "telephone_number": "410-233-1990",
            "fax_number": "410-233-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "KUFORIJI",
        "authorized_official_first_name": "MATANMI",
        "authorized_official_middle_name": "OLUSESAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-233-1990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy D Hebb, LCSW-C
• Kellie Elizabeth Hebbel, CRNP
• Lisa Marie Hebel, PHYSICAL THERAPIST
• Tara Hebert, M.D.
• Hebron House, Inc.
• Raenada Hebron, RBT
• Saran Nicole Hebron
• Barry Hecht
• Emily Hecht, MS, OTR/L
• Debra Heck, M.D.

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.