NPIMap

Organization Active NPI

Outreach Recovery II, LLC

  • Clinical Medical Laboratory
  • Bowie, MD
National Provider Identifier
1730745290
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OUTREACH RECOVERY II, LLC
Practice address
4201 Northview Dr Ste 104
Bowie, MD 20716-2604
Phone
(410) 800-4466
NPI assigned
May 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Isiah Coles
Title
Coo
Phone
(561) 502-3978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4201 Northview Dr Ste 104
Bowie, MD 20716-2604

Mailing address

4201 Northview Dr Ste 104
Bowie, MD 20716-2604
Phone (410) 800-4466

Other practice location 1

211 Virginia Ave
Cumberland, MD 21502-3954
Phone (877) 889-4829

Other practice location 2

21 Industrial Park Dr # 203G107
Waldorf, MD 20602-2751
Phone (410) 429-8690

Other practice location 3

1110 Benfield Blvd Ste H
Millersville, MD 21108-2644
Phone (877) 889-4829

Other practice location 4

2568 Riva Rd Ste 203
Annapolis, MD 21401-7405
Phone (561) 502-3978

Other practice location 5

1115 Main St
Darlington, MD 21034-1405
Phone (410) 800-4466

Other identifiers 1

IdentifierTypeStateIssuer
777797300MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.outreachrecovery.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Outreach Recovery II LLC29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

1115 Main St
Darlington, MD 21034
Phone (410) 457-4771

Practitioners & affiliated clinicians

Practitioners 1

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": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1730745290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 NORTHVIEW DR STE 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162604",
            "telephone_number": "410-800-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NORTHVIEW DR STE 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162604",
            "telephone_number": "410-800-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215023954",
            "country_code": "US",
            "telephone_number": "877-889-4829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Industrial Park Dr # 203G107",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022751",
            "country_code": "US",
            "telephone_number": "410-429-8690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Benfield Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211082644",
            "country_code": "US",
            "telephone_number": "877-889-4829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2568 Riva Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017405",
            "country_code": "US",
            "telephone_number": "561-502-3978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Main St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "MD",
            "postal_code": "210341405",
            "country_code": "US",
            "telephone_number": "410-800-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTREACH RECOVERY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "ISIAH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-502-3978"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777797300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.outreachrecovery.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "4201 Northview Dr Ste 104",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207162604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.