NPIMap

Organization Active NPI

Nuwave Health Services

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1700508744
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NUWAVE HEALTH SERVICES
Practice address
452 S Bentalou St
Baltimore, MD 21223-2823
Phone
(443) 850-4740
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Damon Marshall, RN
Title
Ceo
Phone
(443) 850-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

452 S Bentalou St
Baltimore, MD 21223-2823

Mailing address

7646 Elmcrest Rd
Hanover, MD 21076-1873
Phone (443) 850-4740

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

National Provider Directory

National Provider Directory
Tax ID family
Nuwave Health Srvices14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1700508744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7646 ELMCREST RD",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761873",
            "telephone_number": "443-850-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 S BENTALOU ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232823",
            "telephone_number": "443-850-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUWAVE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-850-4740",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "452 S Bentalou St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212232823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 15, 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.