NPIMap

Organization Active NPI

Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc

  • Psychiatric Hospital Unit
  • Baltimore, MD
National Provider Identifier
1700436813
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC
Practice address
4002 W Belvedere Ave Unit a
Baltimore, MD 21215-5502
Phone
(410) 984-7411
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Mr. Innocent Akpuaka, REGISTERED NURSE, BS
Title
Ceo
Phone
(410) 304-6544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

4002 W Belvedere Ave Unit a
Baltimore, MD 21215-5502

Mailing address

PO Box 31699
Gwynn Oak, MD 21207-8699
Phone (410) 984-7411

Other practice location 1

6817 Real Princess Ln
Gwynn Oak, MD 21207-4493
Phone (410) 984-7411

Other names 2

  • EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC Doing business as
  • EXCELLENT HEALTHCARE &PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excellent Healthcare Psychiatric Rehabilitation Program Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4412 Park Heights Ave
Baltimore, MD 21215

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1700436813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31699",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212078699",
            "telephone_number": "410-984-7411",
            "fax_number": "410-645-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 W BELVEDERE AVE UNIT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155502",
            "telephone_number": "410-984-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6817 Real Princess Ln",
            "address_purpose": "LOCATION",
            "city": "Gwynn Oak",
            "state": "MD",
            "postal_code": "212074493",
            "country_code": "US",
            "telephone_number": "410-984-7411",
            "fax_number": "410-645-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2022-06-09",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "AKPUAKA",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-304-6544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE, BS"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXCELLENT HEALTHCARE &PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC",
            "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 Jun 9, 2022; 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.