NPIMap

Organization Active NPI

Bridging Gaps With New Beginning

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1730630955
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
906242 Issued in MD
Legal business name
BRIDGING GAPS WITH NEW BEGINNING
Practice address
4128 Hayward Avenue
Baltimore, MD 21215-9998
Phone
(443) 473-6804
NPI assigned
Oct 24, 2016
Organization subpart
Yes
Parent organization
BALTIMORE AREA COMMUNITY HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Mr. Clay G Sands, MADC. ADT.
Title
Executive Director
Phone
(240) 237-6071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 906242 MD Primary

Addresses

Primary practice location

4128 Hayward Avenue
Baltimore, MD 21215-9998

Mailing address

4128 Hayward Ave
Baltimore, MD 21215-4337
Phone (443) 473-6804

National Provider Directory

National Provider Directory
Tax ID family
Bridging Gaps With New Beginning4 organizations share this tax ID, including this one
Part of
Bridging Gaps With New Beginning

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1730630955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 HAYWARD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154337",
            "telephone_number": "443-473-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 HAYWARD AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212159998",
            "telephone_number": "443-473-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING GAPS WITH NEW BEGINNING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALTIMORE AREA COMMUNITY HEALTH SERVICES LLC",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-237-6071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MADC. ADT."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "906242",
            "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 24, 2016; 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.